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Please sign in box below. I understand that ALL the traffic laws of the state of Illinois are enforced and to be obeyed. Disclaimer: I certify that on the date of the event "Driving the Dixie",my drivers license, vehicle registration and automobile liability insurance are current and valid. I agree neither that A's R Us chapter, Model A Ford Club of America nor the Dixie Highway communities are responsible for loss or injury to property or myself. I shall assume any, and all liability for such loss, damage or injury. Further, any loss or damage caused by myself to others shall be my personal responsibility. *

Send check for pre-registration for $15:00 to: A's R U's at P.O.Box 3 Crete, IL. 60417 Mail pre-registration by June 10th, 2017 After this do not mail. Pay $20 at the start in Blue Island DO NOT USE SUBMIT BUTTON

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Richmond, Indiana

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