Moonlite Chariots Pre-Entry Form A
Name
Address
City, State and Zip:
Phone:
Email:
How many People?
Amount $
$40.00 Pre-Entry, 1 Van & 2 Adults
$45.00 At the Gate
Additional Adults $10.00 Each
Children Under 18 FREE!
Camp Trailer Charge $10.00
Send Check or Money Order To:
MCVA
JACK SMITH, PRESIDENT
2120 S NEEL
RAPID CITY, SD 57703
(605) 393-0822