Your Name:


Email Address:
(to allow us to get more info from you if necessary)


Does the Cruise-In Show have a web site?
If yes, enter the URl (web address):  (example:  www.rocknrod.com)


Cruise-In Official Name:
(example: Our Monthly Cruise-In Show)


Cruise-In Location:
(example:  The Old Malt Shop)


Location's Physical Address:
(example:  222 34th St., Hughson, CA)


Special Location Driving instructions:
(use if additional driving instructions if needed.)


List all Cruise-In Dates for this year:
(example: April 9, May 7, June 8 etc.)


List all Cruise-In times:
(eample: 6:30pm to 9:00pm, enter time for each date)


Cruise-In Contact Phone Number:
(phone number to call for the public to call for event info)
 

Brief description of the event:
(Raffles, Entertainment, Games, Etc.).