make checks payable to
Fred Gibb Memorial Car show c/o Kenny Brown 107 Monmouth Rd
Laharpe, Illinois 61450
Name__________________________________________________
Address________________________________________________
City_________________________State_____Zip_______________
Entry Class____________Year_______Make______Model________
I hereby release the sponsors of this event, the City of LaHarpe and all of the event staff from any responsibility in case of accident to myself or my vehicle and its contents.
Signed____________________________________Specify T-Shirt size______________
Need info: Kenny Brown nopgw@winco.net