Mileage Form

(Set printer to portrait)

Mileage Form

Name:_________________________________________________________________

Vehicle: Year:___________________ Model:________________________________

Engine (HP):____________________ Transmission:____________________________

(Start and finish with full tank)	Odometer (at start): ___________ . ____
Fuel Added: _____________ . ____
Fuel Added: _____________ . ____
Final Fuel Added: _____________ . ____	Odometer (at finish): __________ . ____
Total Fuel: _____________ . ____	Total Miles: __________ . ____
MPG: ______ . ____

Hard Luck Form

Did you suffer any hard luck on your trip? If so, you may be eligible for the SADIM (MIDAS spelled backward) award. Please briefly describe your ordeal:

_______________________________________________________________________

IMPORTANT!!!

Please bring this filled-out form with you and turn in when you check-in.