San Juan Island Concours Entry Form

San Juan Island Concours Entry Form

Sunday, August 14 2022 at the San Juan Vineyard
Name: *
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Phone Number

Area Code Phone Number
E-mail *
Number of vehicles being entered: *

1 2 3 4
Vehicle #1 info: *
Year, Make, Model
Class: *

Car or Truck ($10) Motorcycle ($10)
Vehicle #2 info: *
Class: *

Additional Car/Truck ($10) Motorcyles ($10)
Vehicle #3 info: *
Class: *

Additional Car/Truck ($10) Motorcycle ($10)
Vehicle #4 info: *
Class: *

Additional Car/Truck ($10) Motorcycle ($10)
Our beneficiaries for 2022:
- Joyce L Sobel Family Resource Center
- Family Umbrella Group
- The Mobile Dental Van
- Rotary Internation’s PolioPlus Project
Additional Donation:
Thank you for your participation! Please bring a check (for the amount below) made out to the "Rotary Club of San Juan Island". All net proceeds go to local non-profits and are tax-deductible. Thank you!
Please bring a check for this amount:
Should be Empty:

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