Register for the Paynesville 2011 Tour On-Line...
You must be a member of the Early Ford Registry to go on tour. Complete this form and press the "Submit" button at the bottom. To pay your Registration fee using PayPal (you may use a credit card) or send a check to the Tour Co-Chairman, Dave Dunlavy, 2895 Bluffton Road, Decorah, IA 52101-7802 When we receive your Registration Fee, we will contact you by email with your Tour Number information.

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Paynesville 2011 Tour Registration
When you press the Submit button your form will be sent via Email to us.
Car Owner First Name: Car Owner Last Name:
Email Address: Surface Mail Address:
City: State:
Zip Code: Country:
Home Phone: Cell or Work Phone:
Passenger 1 Name: Passenger 2 Name:
Passenger 3 Name: Passenger 4 Name:
Check if staying in Motel: Enter $75.00 for Car and Driver
Check if staying in Motor Home: Number of passengers (Enter $50 times nr of passengers):
Touring Automobile (must be a 1903-1916 Ford)
Year: Model: Body Type: Engine Nr: Body Nr:
Insurance Company: Policy Number:
Insurance Expriation Date: Auto License Number & State:
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