Name:_________________________________________
Address:_______________________________________
City:___________________________________________
State/Proveince:_________________________________
Zip/Postal code:_________________________________
Tele:
(_______)__________________________________
Email:_________________________________________
Club Affiliation:__________________________________
Select class of MG
Year____________
PREWAR&TC_____ TD _____ TF _____
MGA Rdstr ____ MGA Coupe _____
B chrome _____ B rubber _____B GT _____
MGC & GT _____ MIDGET _____
V-8 Powered ______ Premier _____
(last years winners)
Visiting Marque _____________________________