2011 Pony Drive registration			Great Lakes Pony Drive		Mail completed form to:                  Pony Drive                                    8426 Pinewood St.           Tampa, Fl  33615                          attn:Lucy Carroll
Pony Drive ID #
Name			Name(s) as you want them in ID card-
Address			1
			2		Remember- you can join if for a long or as short a time as your schedule allows. You can even pop in and out during the drive, as many have friends and relatives along the way that they intend to visit. Distances are short, allowing you to catch up easily.
ZIP			Name(s) as you want them in Name tag(s)*
Car- Year & color
*Phone-day			1
night			2
E-mail			Some of the addresses aren't current, and I can't reach you!
	*Please make sure it's a phone number I can reach you at, as I do call members frequently if I have questions.		For 1 member- ID card & name tag included in dues.
			For 2 members- 2 ID cards included in dues- Name tags are $5 additional
Dues	$50	yearly membership	As with everyone, costs are rising and we need the increase to continue to pay the expenses and keep the web site running.
Entry fee	$50
Name tags-	$5	Free for 1 member	*2 Name tags for $5
		If you already have your name tags and ID cards, the renewal is just $50 each year. If you need additional cards for yourselves or other family members, 2 cards are $5.
Total enclosed				Please print this form and mail it with your membership dues.