ANNUAL “MOOSE HERD OF CARS & BIKE” SHOW Lake Shore Lodge 2020, Loyal Order of Moose 5051 Collins Rd. Jacksonville, FL Saturday October 17, 2015 10 AM to 2 PM CAR PRIZES Handmade Plaques to the top 10 Participants vote on - Best of Show, Best Foreign, Best Bike and Best Truck. Plus People's Choice (Awards at 1 PM) Dash Plaques, Goodie Bags and T-Shirts for the first 50 cars registered. CLUB PRIZES $75 and Plaque to the Car Club with the most cars over 8 entered TURKEY SHOOT 2:30 pm FOOD & SNACK TENT PRIZES CHILD ID EVENT Raffles Door Prizes Pre-registration cost $15 for completed registrations received prior to Day of the Show $20 Day of show. Registration closes at 11 AM. (For more information on this event, please contact Bill Dion at 904-564-0479 or the Lodge at 904-2645355) For Pre-registration, Please complete and mail registration form and check to…. Lake Shore Lodge 2020 LOOM, 5051 Collins Road, Jacksonville, Florida 32224 Official Registration Form Name_____________________________ Phone__________________________ Address________________________________ City_______________ State________ Zip________ Vehicle #1 …Year_________ Make_____________ Model___________ Modified? Yes/No Vehicle #2…Year_________ Make_____________ Model___________ Modified? Yes/No Vehicle #3…Year_________ Make_____________ Model___________ Modified? Yes/No Car Club Affiliation (For Car Club Prizes) _________________________________________ I agree that the Lake Shore Moose Lodge #2020 is not responsible for any accidents, injuries or property damages arising from the show/event. Signature__________________________________ Date___________________________