Wine & Shine Registration

Event Date: September 10th, 2017    Rain Date: September 17th, 2017

Personal Info:  First Name:
 Last Name:
        E-Mail:
     Address:
           City:
         State:   Zip:
 Is this your first Wine & Shine?: YN
 Are you a BMW CCA Member?: YN
 Number Attending
 Adults: / Children:



Car Info:       Year: Model:
  Plate #: