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Name______________________________ Address____________________________ City_______________________________ State ______________________________ Phone ________________ Cell__________ Email ______________________________ Host Hotel: Envoy Inn & Suites 9802 Bunsen Way
Registrations received by May 5th will receive 1 Dash Plaque & 1 Event T-Shirt per car and 1 Hat Pin. Size for T-Shirt: S___M___L___XL___XXL___ Car # 1: Year____Make_______Model______________Class___ $25.00 Car # 2: Year____Make_______Model______________Class___ $10.00 Total for Registration $_________ Friday Tour of Patton Museum: How Many____ $__Free___ Friday Dinner at Doe Run Inn: How Many Adults ___ @ $13.00 $_________ How Many Kids 4-10___ @ $6.50 $_________ How Many Under 4____ $__Free___ Saturday Dinner at Tilfords’: How Many ___@ $10.00 $_________ Sunday Belle of Louisville Cruise How Many___ @ $14.00 $_________ 12 and Under___ @ $6.00 $_________ Additional Event T-Shirt(s) How Many___@ $10.00 $_________ Size: S___M___L___XL___XXL___ Total Due $_________ CLASSES For NASS Show Within a Show: A: Round Tail 1962-1970, MKI, MKII, MKIII D: All GT-6s G: Other British CarsB: Early Square Tail 1971-1977, MKIV, & Early 1500 E: Daily DriverC: Late Square Tail 1978 & Later 1500 F: Diamond In The RoughMake Checks payable to NASS and Mail to: NASS CST 2007 c/o Bill Tilford—9303 Fern Hill Drive-Louisville, Ky 40291 –Phone 502-231-2354 e-mail: dadtil4d@bellsouth.com Panoramic Photo 8x40 in tube $50.00 Plus $5.00 shipping
Whereas owner(s) voluntarily enters his/her vehicle in the 2007 British Bash, Central Region Spit Together, it is agreed as follows(1)owner(s)will insure vehicle against loss, damage, and liability and will provide(if requested)proof of such insurance being in full force and effect to the 2007 British Bash staff, NASS CST Committee. (2)Owner(s)does hereby agree to indemnify and hold harmless the 2007 British Bash, NASS CST Committee, agents, or assigns for any act or omissions, which may result in the act, damage, or destruction or injury occurring during or as a consequence of this event, wherever located. (3) The owner(s) in attending this event does so voluntarily and agrees and assumes the risk of any and all damage to his/her vehicle or injury to him/her self Owner_________________________________ Co-Owner______________________________ |
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