SHILOH RIDERS ASSOCIATION INC.

20^th Annual East Tennessee Toy Run

Pre-Registration Form

$30.00 per person or $60.00 per couple

Pre-Registration guarantees T-Shirt, Food Token and a place in the VIP section (up front) for the ride

PLEASE PRINT FORM & COMPLETE ALL INFORMATION

NAME ______________________________________________________________________

ADDRESS ______________________________________________________________________

CITY, STATE, ZIP ______________________________________________________________________

PHONE NUMBER ______________________________________________________________________

EMAIL ADDRESS ______________________________________________________________________

T-SHIRT SIZE- Circle Size  

S            M            L            XL       XXL    

PASSENGER T-SHIRT Circle Size             

S            M         L          XL            XXL

MAKE CHECKS PAYABLE TO: SHILOH RIDERS ASSOCIATION INC.

MAIL TO: P.O. BOX 6503 SEVIERVILLE TN, 37864

DEADLINE FOR PREREGISTRATION BY MAIL IS OCTOBER 23, 2011 REGISTRATION MUST BE RECEIVED OCTOBER 26, 2011