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CORVETTES UNLIMITED CORVETTE
CLUB
Registration Form for "Vettes In GlassTown"
REGISTRATION FORM ( PLEASE TYPE OR PRINT )
NAME:______________________________________________HOME PHONE: (
)_____________________
ADDRESS:_________________________________________________________________________________
CITY:____________________________STATE:___________________ ZIP: __ __ __ __ __ - __
__ __ __
YEAR:______ BODY STYLE: (Coupe, Conv.)________ COLOR(S):______________
CLASS*:____________
YEAR:______ BODY STYLE: (Coupe, Conv.)________ COLOR(S):______________
CLASS*:____________
*See Vettes in Glasstown Flyer page for class designations
CORVETTE CLUB AFFILIATION (If
Any):_________________________________________________________
VENDING SPACE(S):____ PRODUCT or SERVICE:__________________________________________
SIGN AND RETURN TO:
CORVETTES UNLIMITED, c/o Sharon Danks, 127 Locust
Avenue, Milmay, NJ 08340-3212
MAKE CHECKS PAYABLE TO: CORVETTES UNLIMITED
REGISTRATION FEES - (PRE-REGISTRATION BY SEPTEMBER 8, 2010 IS ENCOURAGED)
ENTRANTS ARE REQUESTED TO PROVIDE A 3" X 5" PHOTO, WITH REGISTRATION
PRE-REGISTRATION - CAR SHOW (Before 9/8/2010) $20.00 _____
VEHICLE(S)
VENDOR SPACE(10' X 20')
(Before 9/8/2010) $20.00
_____ SPACE(S)
TOTAL
$__________
DAY OF SHOW: VEHICLE or VENDOR SPACE: $25.00
As a condition of registration, I understand that I am fully responsible for my
vehicle(s), and hereby verify
that I carry complete insurance coverage. I have read this flyer and am
completely aware of its' contents.
No Alcoholic Beverages or Barbecues will be permitted on the Wheaton Arts & Cultural
Center grounds.
Signature_____________________________________
Date_________________(Invalid if Unsigned)
FEES NON-REFUNDABLE
FINAL CLASSIFICATIONS DAY OF SHOW AT SHOW CHAIRMAN'S DISGRESSION
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YOUR RECEIPT FOR REGISTRATION
(Fill out, tear off & retain for your records)
I registered the following Corvette(s) for the 2010 'Vettes in Glasstown show at
Wheaton Arts & Cultural Center, Millville, NJ, September 12, 2010 (Rain date: Sept.19)
hosted by
Corvettes Unlimited Corvette Club, Inc.
1)__________________________________ 2)____________________________________
Check #_______ Amount $________ Date_________
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