(Events currently limited to California)

          Yes, I admit, I’m totally nuts about my car and would like to hang around with the same kind of folks.  Screw short walks on the beach.  I just want to drive around in the sunshine, go to a few auto races, enter a couple of car shows or cruise to some other cool car related events.

Name:          ___________________________________

Address:      ___________________________________

Email:          ___________________________________

Website:      ___________________________________

Birthday:      ___________________________________

Car (drivable):       ______________________________

Car (project):         ______________________________

Auto racing license:(organization)__________________

Interests:       Car shows____ Auto Races____Pizza & Beer____Picnics_____Dinner or Charitable Events____Cruising____

      Please download this form, complete it and send it along with your personal check for $100.00 made out to The 5150 Foundation  PO Box 669 Larkspur, CA 94977.  You will receive your 5150 license plate frame, I.D. card and dash plaque within two weeks.