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2007 Bluegrass British BASH Registration
(click here for printer-friendly
version)
May 4th - 6th, 2007
REGISTRATION FORM
I/we will be driving a:___________________________________________
Driver's Name___________________
Co-driver___________________
Address________________________
Address____________________
City___________________________
City________________________
State_____ Zip_________________
State_____ Zip______________
Phone________ email____________
Phone________ email_________
|
Event |
Cost |
Number |
|
Extended cost |
|
2007 Registration |
$20 Individual*
$30 Couple/ Family* |
|
Includes hospitality Room,
Tour & Car Show |
$ ______________
$ ______________ |
|
Saturday Lunch |
Order from menu |
|
- |
- |
|
Saturday Tour |
Included - registration |
|
- |
- |
|
Derby Party |
Cash bar |
|
- |
- |
|
Buffet Dinner |
Adults: $23.00
Children 6-11: $10.00 |
|
Includes buffet, soft drink,
tax and gratuity |
$ ______________
$ ______________ |
|
Live Auction |
Included |
|
- |
- |
|
2007 Tee Shirts |
Size:
XSmall - $10.00 |
|
|
$ ______________ |
|
|
Small - $10.00 |
|
|
$ ______________ |
|
|
Medium - $10.00 |
|
|
$ ______________ |
|
|
Large - $10.00 |
|
|
$ ______________ |
|
|
XLarge - $10.00 |
|
|
$ ______________ |
|
|
XXLarge - $11.00 |
|
|
$ ______________ |
|
|
XXXLarge - $12.00 |
|
|
$ ______________ |
|
|
|
|
Total: |
$ ______________ |
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