Driver Information - Cheese Wheel Inc.

Driver Information:
(must be 18yrs+)
Co‐driver Information:
Name:
Name:
Address:
Address:
City:
State:
Phone:
Zip:
City:
Shirt Size:
Phone:
Email:
none at this time
State:
Zip:
Shirt Size:
Email:
Vehicle Information:
What will you be participating in? Check all that apply
DAY 1 - Friday August 5th
Optional Prelaunch Social
Year:
Make:
(LAKE DELTON, WI)
Model:
Color:
CAR CLUB AFFILIATION: (needed for club sponsorship)
Registration
Get into the
Clarion
Hotel & Conv. Center
DAY 1 HOTELS:
DELLS Action!!
$ FREE
(Hotel is not included)
920.356.6422
Baraboo, WI
OR Best Western 608.356.1100
OR Best Western 608.356.1100
DAY 2 - Saturday August 6th
Book ASAP: Limited rooms will be realeased 7.4.11
7th Annual CW450 (WI DELLS to KEWAUNEE)
Registration: $150 (5/1 ‐ 6/31) and $175 (7/1 ‐ 7/24)
DAY 2 HOTELS: Kewaunee, WI
Primary: Kewaunee Inn ‐ 920.388.0800
Reg. deadline is July 24th
No co‐driver (subtract $50)
Passengers (add $75ea)
(Hotel is not included)
Overflow:
Harbor Lights Lodge ‐ 920.388.3700
Coho Motel ‐ 920.388.3565 Registration
$
Book ASAP: Limited rooms will be realeased 7.9.11
CW450 Registration Fee (day 2) includes: Rally Packet, 2 T‐Shirts, 2 Lanyards, and Car #
DAY 3 - Sunday August 7th
Optional Sunday Lighthouse
Tour
Cruise
Laugh
EAT
enjoy
All Meals (Lunch in Plover & Dinner in Kewaunee)
Additional car vinyl packages can be purchased
CONTACT INFORMATION:
Cheese Wheel, Inc. ‐ a non‐profit organization
P.O. Box 651
Beaver Dam, WI 53916
Registration
[email protected] ph: 920.539.0767 1st car # choice:
(DOOR COUNTY)
$ FREE
2nd car # choice:
1. Complete and mail in Registration Form (payment made out to Cheese Wheel, Inc.)
2. Email picture of vehicle to [email protected] for posting on website
3. Contact hotel for booking rooms under the "Cheese Wheel" group name ASAP!
Registration Fee:
Additional Merch. (pg2):
Car Vinyl Package (pg2):
Personal Donation:
Total Enclosed:
$
$
$
$
$
4. Please make sure your info above is legible to ensure proper tracking on our end
Contact us with questions or concerns ‐ Confirmation letter will be sent once we complete your registration
CW450 Vinyl Packages:
Basic Vinyl Package:
$50
2 Sides: CW logo, sponsors, and "rally design"
Basic Vinyl:
Basic Vinyl:
Premium Vinyl Package:
$75
Hood and 2 Sides: CW logo, sponsors, and "rally design"
Premium Vinyl:
Circle Color of Choice:
WHITE BLACK RED BLUE
Notice:
‐ Please make sure your address is legible so we don't make any mistakes!!
‐ Car number is included in your registration. It will be given to you at check‐in along with your rally packet
‐ All vinyl packages will be mailed out starting July 1st
All vinyl packages will be mailed out starting July 1st
Merchandise:
Cheese Wheel Inc. Hoodie
(Cheese Wheel, Inc. logo on front, website on sleeve)
Sizes: M ‐ 3XL
Sizes:
Colors: Black Only
Qty:
(L, M, etc.)
x $35
Total:
CW General tee
(CW logo on side/front, website on back hem)
Sizes: S ‐ 3XL
Colors: Black, Red, Blue, Green, and Purple
Color:
Sizes:
(L M t )
(L, M, etc.)
Qty:
x $20
x $20
Total:
Color:
Sizes:
(L, M, etc.)
Qty:
x $20
Total:
Color:
Sizes:
(L, M, etc.)
Qty:
x $20
Total:
Total Merchandise:
Notice:
‐ All merchandise will be handed out at check‐in along with you rally packet
‐ Alternate sizes can not be guaranteed if an exchange is needed
‐ Other limited merchandise will also be available during the event
‐ Window stickers and windshield banners will also be available to purchase
7th Annual Cheese Wheel 450
August 6, 2011
Brought to you by Cheese Wheel, Incorporated
(est. 2006)
Pledge Program:
We strongly believe our annual charity cruise is a fun and rewarding experience
for our participants. We hope to make this year’s Cheese Wheel 450 the best on record,
so the more contributions you raise, the more successful we will become! Thank you
very much for your participation in our Pledge Program!!
Pledge Rules:
• Participants may start collecting pledges as soon as possible.
• Each sponsor making a pledge should fill in the information required. Participants
should collect all pledge money prior to the CW450.
• This Pledge Program is voluntary but everyone is encouraged to participate!!
Reminder: All pledge sheets and donations need to be returned at check-in for CW450.
Pledge Goals:
• Each participants should shoot for at least 10 donations.
• If a car raises $200 ($100 from each driver and co-driver) you will each win our
“$100 t-shirt”. Sizes will be taken after pledge money has been turned in. We will
then mail your specially designed, limited edition, shirts to you once they are printed
• If a car raises $500 it will be awarded with a Half-Off coupon that can be used for
registration to next year’s CW450 Charity Road Rally.
Event Reminder:
• See CW450 disclaimer for all restrictions regarding proper participant conduct. CW,
Inc. reserves the right to suspend and remove any participant at any point if your actions are deemed inappropriate or unsafe. The CW450 is not a race!
We look forward to all our participants having a great time!! For questions or concerns
call Aaron Guell at 920.539.0767
920.539.0767 ◊ [email protected] ◊ PO BOX 651 – Beaver Dam, WI 53916
www.cheesewheel450.com
The 2011 Cheese Wheel 450 Weekend is ready to Launch!
August 5 - 7, 2011
CW450 Pledge Sheet
DRIVER:
CO-DRIVER:
First Name:_____________________ Last Name:_____________________
First Name:_____________________ Last Name:_____________________
Dear Potential Donor,
We are participating in the 2011 Cheese Wheel 450, Wisconsin’s Charity Road Rally. This event is organized by Cheese Wheel, Incorporated a 501(c)(3) non-profit
charity organization. Proceeds generated will be donated to Children’s Hospital of Wisconsin and the Wisconsin chapter of Amyotrophic Lateral Sclerosis
Association - ALS is more commonly known as Lou Gehrig’s Disease. Any amount pledged will greatly be appreciated.
Please make checks payable to Cheese Wheel,
Wheel Inc.
Inc
All contributions to Cheese Wheel, Inc. are tax-deductible.
Donor Phone
Donor Name
(Optional)
Pledged
Amount
Collected
Check for
Anonymous
Notes: Email / Address
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PARTICIPANTS: To reach our goal we hope that each team finds 10 donors Please bring this form and donations with you at check in
PARTICIPANTS: To reach our goal, we hope that each team finds 10 donors. Please bring this form and donations with you at check‐in
Organized by and Proudly Supporting Since 2005!