2012 Super Cars & Coffee

“Concours on the Green”

September 2^nd · 8AM – 3pm

Presented by the Lake Mills Main Street Program

DRIVER NAME

ADDRESS

CITY/STATE/ZIP

PHONE:                                             EMAIL:

CONTACT INFORMATION AT EVENT

CAR INFORMATION

YEAR
MAKE
MODEL
COLOR

Entry fee is $20 per car.  Event t-shirt and a bottle of wine guaranteed for pre registration only. In case of a rain out, these can be picked up at the next Cars and coffee event. we need a completed form for each car attending, if you are bringing two cars, we need two forms filled out. advanced registration closes August 27th

signature date

t-shirt size

Payment by Check

Please make check payable to:

Rock Lake Motors

Mail to:

Rock Lake Motors

PO BOX 347

Lake Mills, Wisconsin 53551

Contact Info:

Katie Otto

Phone: 920-648-6721

Email: director@lakemillsmainst.org

Registration Opens 8:00 AM at corner of main st & Madison

Judging Starts at 10:00 AM

Band starts at 1:00 PM

Awards At 2:00 PM