Personal Information
First Name:	*
Last Name:	*
Email Address:	*
Home Phone Number (with area code):	*
Cell Phone Number (with area code):
Home Street Address (line 1):	*
Home Street Address (line 2):
Home City:	*
Home State:	* (enter "NA" if outside the U.S.)
Home Postal/Zip Code:	*
Home Country:
928 Information
The year of your 928:	19771978197919801981198219831984198519861987198819891990199119921992199319941995
The model of your 928:	928928S928S2928S4928CS928SE928GT928GTS
The color of your 928:
The transmission in your 928	Auto 3 speedAuto 4 speedManual 5 speed
Attendance Information
Will you drive your 928 to the Frenzy?	Yes No *
If driving a 928, how many miles one way?
Will you fly to the event (suggested airport Dulles)?	Yes No *
PCA Member?	Yes No *
How would you like your name to be printed on your name badge?	*
Name of your guest #1, if attending:
Name of your guest #2, if attending:
Name of your guest #3, if attending:
Event T-Shirts
First Shirt (included)	Size? S M L XL 2XL *
Second Shirt, $15	None S M L XL 2XL
Third Shirt, $15	None S M L XL 2XL
Event Participation
Friday "Welcome to Frenzy" Happy Hour	How Many? 0 1 2 3 4 *
Saturday at Funktion Auto (includes lunch & T-Shirt), $30	How Many? 0 1 *
Lunches for your guests, if any, $5 each	How Many? 0 1 2 3
Saturday Afternoon Fun Run	How Many? 0 1 *
Saturday Evening Banquet at Holiday Inn
Select dinner for first person, $38	None Beef Chicken Lasagna
Select dinner for second person, $38	None Beef Chicken Lasagna
Select dinner for third person, $38	None Beef Chicken Lasagna
Select dinner for fourth person, $38	None Beef Chicken Lasagna