Name(s) _______________________________________________________________
Address _______________________________________________________________
City, State, Zip ________________________________________________________
Phone (H) _______________ Phone (W) _____________ e-mail ______________
Number of adults @ $140.00/person: ____ x $140.00 = $___.00.
Information about your 190SL:
Year: _______ Color: ______________ Interior color: _________
Serial Number: __________________________________________________
Will you be bringing your car? Yes _______ No __________
Questions? Call Bill Johnson or Cheri Ferbrache
Return form and check to: 190SL Group
Let us know about your interest in any of the
following activities:
How Many? (Adults/children<12)______
____ Rafting (half day or all day)
____ 3 night (or more) Tour of the Back Roads of Colorado
____ Bicycling ____ Train Tour (morning or afternoon)
____ National Mining Museum and Hall of Fame Tour
____ Walking Tour of Historic District
____ Van to shopping at Breckenridge _______ or Vail