Registration Form

 

LE #:        _______

Name 1:    ______________________________

Name 2:    ______________________________

Address:    ______________________________

City/State/Zip:    _________________________

E-Mail address:   _________________________

Shirt Sizes:    ____________________________

 

Registration Fee is $25 per person and will include a special 93LE event T-shirt and the Talimena Scenic Drive Book.  Please remember that you will need to make your room reservations directly with the Queen Wilhelmina State Park Lodge for September 12th [Fri] and 13th [Sat].  Call 1-800-264-2477 and let them know you are with the Miata 93LE group.  Meals are not included with the registration fee.

Thanks for registering for this special event.  I am sure that we will have a great time together.  Please check www.miata93le.com for updates on the event.

Richard and Katheryn Hung

2735 Newbury Court

Pearland, Texas 77584

713-436-0051

RHungENT@hotmail.com