17th annual summer's end corvette car show registration form car

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Schedule of Events. Friday August 23. Registration & Reception. Homewood Suites Reception Area. 4302 West Walnut Street. Rogers, AR 72756. 1-479-636-  ...
Schedule of Events Friday August 23 Registration & Reception Homewood Suites Reception Area 4302 West Walnut Street Rogers, AR 72756 1-479-636-5656 Registration: 2:30pm – 7:30pm Reception: 5:30pm – 7:30pm Complimentary Hamburgers, Hotdogs, Chips, Sodas & Cookies Entertainment provided by Ms. Vicki Cunningham Cash Bar 3:30pm to 9:30pm Silent Auction in the Bar Area Saturday August 24 Pinnacle Hills Promenade Rogers, AR 72756 Registration: 8:00am – Noon Car Show: 8:00am – 3:00pm Fashion Show – Dillard’s 9:00am – 10:30am Car Show Judging 11:00am – 2:30pm Happy Hour 2:30pm – 5:30pm at Homewood Suites 4302 West Walnut Rogers, AR Awards Banquet Holiday Inn of Northwest Arkansas Springdale Convention Center 1500 South 48th Street Springdale, AR 72762 Cash Bar 6:30pm – 9:00pm Dinner 7:00pm – 8:30pm Awards Presentation 8:00pm – 9:00pm Take Exit 72 from Hwy 540

17TH ANNUAL SUMMER’S END CORVETTE CAR SHOW REGISTRATION FORM NAME__________________________________________________________________________________________________ ADDRESS________________________________________________________________________________________________ CITY___________________________________________STATE___________________ZIP______________________________ PHONE_______________________________EMAIL_____________________________________________________________ CLUB AFFILIATION________________________________________________________________________________________ COUPE OR CONV YEAR COLOR CLASS # Car Show Classes CAR # 1 1953 - 1967 1ST CAR 2 1968 - 1982 3 1984 - 1996(C4-Early ZR1) 2ND CAR 4 1997 - 2000 3RD CAR 5 2001 - 2004 6 2005 – 2013 Convertible PREREGISTRATION LATE REGISTRATION 7 2005 - 2013 Coupe THRU AUG 1, 2013 AFTER AUG 1, 2013 8 2009 – 2013 GS Convertible $ 9 2009 – 2013 GS Coupe 1ST CAR $35.00 1ST CAR $40.00 10 1990-2013 ZR1-Z06 ADDITIONAL CAR $15.00 ADDITIONAL CAR $15.00 $ 11 CUSTOM MODIFIED TOTAL______________ NWACC RESERVES THE RIGHT TO MODIFY HOSPITALITY MEAL EXTRA TICKETS FOR FRIDAY $10.00 $ CLASSES (2 Free Tickets included with each registration) DECISION OF JUDGES IS FINAL

AWARDS BANQUET # ATTENDING___________ X RESERVED TABLE ADDITIONAL CHARGE

$30.00 $10.00

$

CAR SHOW SHIRTS SM_____ MED_____LG_____XLG_____ 2XLG_______3XLG______

$15.00 $20.00

$

MAKE CHECKS PAYABLE TO: SUMMERS END CORVETTE SHOW P.O. BOX 1064 ROGERS, AR 72757-1064 ATTENTION: KAREN MCMILLAN, SHOW REGISTRATION

TOTAL $

Waiver: I hereby release and discharge the Northwest Arkansas Corvette Club, any organizers, sponsors, participants or anyone else connected with the presentation of the Summers End Corvette Show of any and all known or unknown damages, injuries, losses, judgments and/or claims from any cause whatsoever that may be suffered by an entrant to his/her property or guest. Signature of Applicant: _______________________________________Date:______________ ***