Name of Driver:              Phone #:        

   E-mail:                            Cell Phone #: 

   Name of Passenger:    Miata Year/Color: 

   Address:        

   Miata Club:          I am not a club member: 

   THURSDAY, February 15, 2007

        Yes, I will attend “Miata Night”, Contact the Ambassador Hotel.**

        Yes, I will participate in the Road Rally & Lunch.

  SATURDAY, February 17, 2007

        Yes, I will be attending the Concours d’ Elegance at Scanlon Mazda of Ft. Myers.

        Yes, I will be entering my Miata in the judging competition.

* Register On-Line at www.miataclubofsouthwestflorida.com or by completing and mailing this form to: J. Gil 241 SW 37 LN Cape Coral, FL 33914

* * Contact the Ambassador Riverfront Hotel at 1-800-833-1620 for room reservations. You must also be registered for one or all of the above Events with the Miata Club of SW Florida no later than January 31, 2007.