PRE‐REGISTRATION  FORM Please complete and mail this form to:  

Rose Schmitt  3701 S. 92nd Street  Milwaukee, WI   53228  Name:  ___________________________________  Address:  ___________________________________  City:  ___________________________________  State: _________ Zip: _________________  E‐mail address:  ___________________________________ No. of entries: __________ Year of Corvette(s):  ____________________________________  ____________________________________  Color of Corvette(s):  ___________________  ____________________________________  ____________________________________  Registration fee: $10.00 per car Pre‐registration by mail closes Sept. 1st Make check payable to:  Wisconsin Corvette Club, Inc. 

**Non-NCCC participants & workers are not covered by NCCC Insurance** MW-075-N01

Total enclosed: $ _____________________