Print This "Show/Event Form" & Mail or Fax In
Name:______________________________________
Address:_____________________________________
State:__________ Zip:__________ Phone:___________________
Check - Money Order - Credit Card Visa/MC -------$20 per Issue (see issues below)
Credit Card #:_____________________________________ or Check #:____________
Card Exp:_____________ Amount to charge your card: $________
Event Name:_____________________________________________________
Event Date:________________ Event Phone:________________
Event Info:_______________________________________________________
________________________________________________________________
_______________________________________________________________
Which issues want event listed in? (Circle): Oct/Nov Issue - Dec/Jan Issue - Feb/March Issue -
April/May Issue - June Issue - July Issue - Aug/Sept Issue ($20 per issue)
Your event will be listed in print and on-line /Please include a show flyer if you have one!
Send to: Gearhead News - P.O. Box 475, Lemont, IL, 60439
Phone 630-427-0409 Fax 630-985-8725