Number



Official Use Only

VEHICLE REGISTRATION

Make / Model _______________________________

Year / Color ________________________________

License Plate _______________________________

4x4 Capable? Yes ______ No ______

Insurance Co._________________________________

Policy #______________________________________

Policy Holder _________________________________

Insurance Phone _______________________________

MEDIA PASSENGER

Since the media has expressed interest in documenting the 2005 Navigational Rally, we are looking for volunteers to offer rides for these crews.

Would you be willing to have a TV or Newspaper reporter and camera-operator ride along for part or all of the rally? The media will be made aware that this is a competition and they will need to follow the cache hunter without getting in their way and get back in the vehicle without holding up your team.

YES ________

Available Passenger Seating __________

NO _________