Oldsmobile Norther Lights Chapter - Rocket Roundup Registration

The Oldsmobile Northern Lights Chapter is a car club dedicated to all Oldsmobiles 1897 to present. Ownership of an Oldsmobile is not compulsory.

Rocket Roundup 2012 Registration
Last Name:		City:
First Name:		Province:
Address:		Postal Code:
Membership ID:		Email:

Please enter quantities for the items you wish to order, and calculate the totals:
Vehicles: (Member Pricing - 1st Car $10.00, additional cars $5.00 each. Non-Members pay $20.00 for each vehicle.)
Note: You can purchase a membership at the bottom of this form.			Quantity	Price	Total

1. Year:	Model:	Member Price:
Body Style:		Non-Member Price:

2. Year:	Model:	Member Price:
Body Style:		Non-Member Price:

Banquet Choice:		Chicken
		Beef

Northern Lights T-Shirt:		Small
		Medium
		Large
		Extra Large

Northern Lights Golf Shirt:		Large
		Extra Large

Northern Lights Chapter Membership (Expires 2013):

Ensure this Total is correct, then click submit to pay				Total
Your transaction can not be completed until payment is made! If you are not paying through Pay Pal, please download the printed form and mail in with payment.