100th Checker Anniversary Party Registration
Please fill out the following form so we are able to plan the La Crosse Queen River Cruise, lunches, parking, social hour, etc.

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Name *
Email *
Phone # *
City *
State *
How many people TOTAL (including yourself) will be in your group on Saturday? *
Will you be attending the FRIDAY Pre-Event (5/28) night cruise to dinner @ Feature's (5:00 pm)? *
How many people in your group will be attending the La Crosse Queen River Dinner Cruise? *
Cost:  |  Adults — $54 per person  |  Seniors — $52 per person  |  Kids — $33 per person (includes Chef-carved prime rib and chicken dinner, 2 1/2 hour Mississippi River cruise, live music).  *Please prepay below to secure your spot(s)!
Purchase the River Cruise Dinner for every person HERE:  
bit.ly/MBMPayPal    |    Cost:  |  Adults — $54 per person  |  Seniors — $52 per person  |  Kids — $33 per person (includes Chef-carved prime rib and chicken dinner, 2 1/2 hour Mississippi River cruise, live music).  *Please prepay here to secure your spot(s)!    |     bit.ly/MBMPayPal
Will you be attending the SUNDAY Farewell (5/29) morning brunch @ Cruise to Perkins (9:00 am)? *
Number of cars you will be bringing to the Saturday event...  (ALL public service vehicles welcome!) *
Year(s)
Make(s)
Model(s)
Drivetrain(s)
Tell us any special notes about your car(s) you would like included.
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