The So Cal TT will be held on Sunday May 23, 2004-Monday may 24, 2004

Please fill out this form and send it with your check payable to Tad Yenawine for $110 +$45 for a passenger to :

So Cal TT/Tad Yenawine

813 East Kensington Road

Your application and payment must be received by May 9, 2004.

Driver Name ($110)

Driver Address

Driver Telephone Cell phone Email

Notify in case of emergency:

Driver Tee shirt size (included with entry):

Is there someone on the TT that you would like to share a bed with?

Is there someone on the TT that you would like to share a room with?

Co driver Name($45)

Co driver Address

Co driver Telephone Cell phone Email

Notify in case of emergency:

Co driver Tee shirt size (included with entry):

Vehicle info: Year Manufacturer Model

Weight Engine displacement/type

Comments:

Number preference:

Tee shirt pre-order: $10 for each additional shirt: Size(s):

Is there any information in this application that you would like to be kept private from the other participants?

If you have any questions, please contact Tad Yenawine at 213 975 1144 or E mail at tanjent@sbcglobal.net