REGISTRATION FORM 

GREEN GRAND PRIX 2010

EVENT

Doris Bovee Memorial Road Rally
Chicago-Soft Green Grand Prix Fuel Economy Run

CONTACT INFORMATION

Contact Name        

Company Name (if applicable)

Address 

City    State    Zip 

Day Phone                  Eve Phone 

Cell Phone        Email  

Vehicle Make        Model    Year 

Vehicle fuel 

Private entry ($30 + $20 insurance cost* for driver and navigator = $50.00 minimum donation)
Business/Organization entry ($90 + $20 insurance cost* for driver and navigator = $110.00 minimum donation)
School/
Educational (
Free. Your entry fee will be covered by business donations)

Additional passengers excluding driver and navigator (please add $15 insurance per person). This is also true for additional passengers in school entries.

Each entry will receive 2 Green Grand Prix T-shirts and 2 complementary lunches.

Please complete, print out, and mail to :

Glenspeed 2888 Sherman Hollow Road
Penn Yan, NY 14527

with check made payable to IMRRC
Questions? Please call Robert Gillespie (315) 536-7185