VEHICLE REGISTRATION

________________________________________________________________

Pre-registration is required for mileage re-imbursement,

Mileage will be paid only on WWII era Vehicles.

Please complete one form for each vehicle.

Vehicle ________ Year_______ Make ____________________

Owner _____________________________________________

Address ____________________________________________

City  ____________________  State ____  Zip code _________

Description __________________________________________

Round trip mileage (Based on Mapquest.com quickest route)_________

Insurance Carrier _____________________

Policy Number _______________________

License No:_________  State ___________

I attest that all information listed on this form is correct and up to date.

Signature: _____________________________  Date: __/__/____

Gregory Alexander

2164 Mease Drive

Reeds Spring, MO 65737

Email  boot@327th.com

This  form may be e-mailed or mailed anytime before the 3rd Saturday in October.  Mileage re-imbursement will be paid on a first registered, first come first serve basis. You will receive a confirmation email upon approval for payment.