Septemberfest

Car Show Pre-registration Form

Pre-registration for $10.00 or pay $15.00 at the gate
Pre-registration & payment must be postmarked by September 5

Personal Information:

(* Indicates Required Fields)

First Name *	Last Name *

Street Address *

City *	State *	Zip Code *

Contact Information:

Please provide at least two additional methods of contact (email address required*).

Home Phone Number	( ) -	Ext.
Cell/Work Phone Number	( ) -	Ext.
E-mail Address *

Vehicle Information:

Make:
Year & Model:	Year:	Model:

Payment Information

** After submitting this form, please print out the email confirmation and mail it in with your cash/ check to the following address:

Dakota County Technical College
Attn: Foundation
1300 145th Street E.
Rosemount, MN 55068-2999

Submit Registration:

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