Printable RegistrationLance Moore2023-10-24T13:08:49-05:00
Blue Suede Cruise Registration
Print, complete and Mail this page & $40 check to:
Blue Suede Cruise, P.O. Box 746, Tupelo, MS 38802
Name:_____________________________________
Email:_____________________________________
Country:___________________________________
Address:___________________________________
City:______________________________________
State/Zip:__________________________________
Days Attending:______________________________
Car Year:___________________________________
Car Make:__________________________________
Car Model:__________________________________
Insurance Provider/Coverage:____________________
Phone:_____________________________________
Guest Attendee (name of guest traveling with you):
__________________________________________
Comments: