Indianapolis - World of Wheels

Indiana State Fairgrounds, Indianapolis IN - February 12, 2010

Mail completed order form and check, or fax form and credit card information to:
Championship Auto Shows, Inc., 1092 Centre Rd., Auburn Hills, MI 48326
FAX (248) 373-7091 Attn: Student Day

QTY	Description	Price (each)
	Student / Chaperone With Lunch	$15.00
	Student / Chaperone W/out Lunch	$10.00
	Bus Parking – No Charge	$0
		TOTAL

Name of School
Address
City
State / Prov.		Zip
Contact Name		Phone Number

PAYMENT INFORMATION (no refunds)
Check (enclosed)

Credit Card
Card Number	3 Digit Security Code
Expiration Date	of
Billing Name
Billing Address
Billing City
Billing State
Billing Zip Code

SIGNATURE	____________________________________________________________________________

Orders should be picked up and distributed at the Marsh South Pavillion. Door will be marked “Education Day”, located on the southwest corner, on Friday, February 12, 2009.

Additional questions, please call:
ISCA– 248-371-1600