Bellevue Washington July 27-29, 2007
        West Coast Spit-Together    
       Host Show Registration Form

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2007 ABFM Entry Form

Please complete all information on form and then print completed form. Sign the completed and printed form, then send/fax to address/fax# at bottom. To qualify for the Early Entry Drawing your entry must be post marked or faxed by June 28, 2007

Name  __________________________________________________  
Second Name  ____________________________________________
Address  ________________________________________________
City __________________State________ Zip/Postal______________
Phone Fax Club  __________________________________________

Vehicle Information (Classes will be determined by number of entrants)

1st Vehicle entry will receive a Dash Plaque, Souvenir Program with Pre Registration Only. Pre-Registration deadline is Wed. July 25, 2007

      Make,        Year,          Model,         Color,           Body Style


Regalia (Enter Qty)

Tshirts   M ___________L__________ XL__________
Tshirts  XXL__________ XXXL_________


     Item              Qty                    Price                      Sub-Total

First Vehicle                 ____________         $30.00            ____________        
Additional Vehicles       ____________        $15.00             ____________        
Breakfast and Drive       ____________        $10.00            ____________        
First Swap Meet Space  ____________        $35.00           ____________        
Additional Swap Meet Space ________        $20.00           ____________        
For Sale Space              ____________        $35.00           ____________        
T-Shirts MXL                ____________        $18.00           ____________
T-Shirts XXL-XXXL     ____________        $20.00          ____________ 
Dash Plaque                   ____________          $6.00          ____________
Grill Badge (Triumph)     ____________        $39.95          ____________

TOTAL                                                               ______________________

I agree to insure my vehicle against loss, damage, and liability. I agree to assume the risk of any damage or injury, and to indemnify and hold harmless The Puget Sound British Automotive Society, its officers, and directors or agents for any acts of omission which may result in the theft, damage, or destruction of my property or injury to me or others occurring during or as a consequence of this meet including but not limited to: overnight storage, and all places associated with this meet.


Payment Method

All payment must be in US Funds. Please make checks payable to Puget Sound British Automotive Society (PSBAS) Mail printed form to Arnie Taub 17610 NE 8th Place Bellevue WA 98008 Your Entry Form & Credit Card information can be sent by FAX to: (425) 747-0205

Check      Visa____          Mastercard____
Card Number_______________________    ExpDate_________

There will be no refunds or cancellations within 14 days of the event. All entries received prior to July 1st will be confirmed.


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