May 2, 2000
Name _________________________________________________ Member # ______________
Address ______________________________________________________________________
Phone (H) ________________________________ (W) ________________________________
Model and Year of Mercedes-Benz Entered ___________________________________________
Concours Class: Show __________ Street __________ Display __________
| $20 for each car in Show or Street Class | $__________ |
| $10 for each car in Display Class | $__________ |
| Total Enclosed | $__________ |
|
Make your check payable to: GWS-MBCA | |
| Print this form and send it and your check to: |
Ed Ayre 3804 East-West Highway Chevy Chase, MD 20815 |