4x4 In Motion Poker Run Saturday July 14, 2012


Register by June 5th to be entered into our special raffle—winners will enjoy a fine dining experience Saturday night!


***BONUS***


NAME ADDRESS CITY


PHONE EMAIL INSURANCE CO & POLICY # (PLEASE INCLUDE A COPY OF LIABILITY COVERAGE)


Registration includes: 2 dinners, 1 poker hand, 1 raffle ticket, 1 dash plaque QTY.


Registration Kids dinners Extra dinners Extra hands


$ 50.00 per vehicle $ 5.00


$ 10.00 $ 5.00


TOTAL


TYPE (Youth, La- dies, Men)


Pre-run shirt order – see design at www.4x4inmotion.com—Be sure to specify, type and size SIZE


AMOUNT QTY TOTAL TOTALS STATE ZIP


MAIL REGISTRATION FORM TO: J ELAM


4X4 IN MOTION


P.O. BOX 378 HICKMAN, CA 95328


Camp in the beautiful Stanislaus National Forest Held under US Forest Permit, CA4WDC safety requirements enforced (www.cal4wheel.com)


From Sonora, go up HWY 108 pass Strawberry (approx. 15 miles) to Eagle Meadows turn off. Follow signs to trail and camp. Last Gas is in Cold Springs. Maps available upon request.


Proof of liability insurance (all participating vehicles)-please send a copy or bring to run. IN GEAR April-May 2012 cal4wheel.com 19


CONTACT INFORMATION:


MARY KRUPKA 209.605.7993 mkrupka@yahoo.com


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