Leaders & Loving Supporters Car and Bike Show Registration Form
The first ever

Leaders & Loving Supporters

Car, Truck & Motorcycle Show Benefitting The Leukemia & Lymphoma Society

Saturday, April 14, 2012
11 a.m. to 5:00 p.m.
(Registration begins at 8am and will go till 10am)

In Advance - Minimum donation of $20 (but more is always appreciated) for cars and $10 for Bikes/Motorcycles
Day of Event - Minimum donation of $25 for cars and $15 for Bikes/Motorcycles

Original Mikes Restaurant
100 S. Main St, Santa Ana, Ca 92701

A fundraising event benefiting the Leukemia & Lymphoma Society in support of
99.1 KGGI’s Felicia Alcaraz, Woman of the Year Nominee!!

Music, Prize Drawings, Food, Beverages, Plaques .  
Special Guest Radio Personality: Evelyn Erives

SPECTATORS WELCOME - FREE ADMISSION

For any questions email LLSeventInfo@gmail.com or
Contact Felicia at 951-367-7653

Note:
-Clear Channel, 99.1 KGGI, Felicia Alcaraz, Original Mikes, LLS, Leader & Loving Supporters, or any of it’s affiliates are not responsible for loss, damage, or theft which may occur as a result of your participation in this non-profit fund raising event.
-No outside food/drinks (other than water bottles) will be permitted in the lot.
-Cancelation - If you decide to cancel prior to the event, the above agreed upon donation will not be refunded. Please understand that once the donation is made out to LLS, the money is a non-refundable and tax-deductable donation.
-No BBQ's, No Hopping, No Alcohol (Alcohol to be sold inside of OG Mikes and to remain inside of OG Mikes)
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First Name *
Last Name *
Name of Car Club
Phone Number *
Address *
Email Address *
Vehicle Type *
Required
Vehicle Year *
Vehicle Make & Model *
Vehicle Color *
Vehicle License Plate # *
Registration fee is a minimum $20 donation for cars $10 for Motorcycles in advance, $25 the day of event. *
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