The Great American Pony Drive  2005

Contact Information

Please note that all contact information will be treated strictly as confidential.

First Name

Last Name

Company Name

Address

City

State, Zip Code

,   

Telephone

( ) - Ext.   PLEASE GIVE HOME PHONE

Fax

( ) -

E-Mail

 
                                                                          Car Information

Driven?

Trailered?

Year

Model

Club Affiliation
MCA Number

If not an MCA Member, would you like to be?

Portion(s) of the Pony Drive you anticipate to travel
Other travel

Time you anticipate you will be on the Pony Drive?

Days    Weeks     Entire trip
This is just an estimate how many will be on different legs of the trip.
This pre registration is to allow people all over the world to sign-up early to reserve a participant number. Numbers will be assigned in the order received by date and time.   There is no additional need for anyone to sign up again.
                                                                                   $55.00 USD
COMMENTS

 
You may either pay now using Pay Pal (ponydriveii@aol.com) or send a check or money order to: The Great American Pony Drive,  3184 NW 113 Avenue, Sunrise, FL  33323       If you are new to Pay Pal, you can sign up for free.   DO NOT SEND CREDIT CARD INFO IN THE COMMENTS SECTION!