NORTHERN INDIANA LAKES BRITISH MOTOR CLUB

WARSAW, INDIANA

Fall Out Car Show 2008 Registration Form

Event date October 4, 2008, located in the 

Village at Winona

10:00 AM registration opens 

3:00 PM awards

Pre-Registration Fee: $15 until October 1st

$20 registration fee the day of show

 

Registration:

Name Car Make & Model Year


Address
City St & Zip

phones:
email address:


Club Membership:

 

WAIVER: I am aware of the hazards with motor vehicle events and specifically release and indemnify the organizing club and The Village at Winona, collectively and separately, from any and all liability from personal injury or property damage incurred by me or by my guest(s) while participating in this event. I have read, understand and agree to this release.

SIGNATURE: ____________________________________________

DATE: ______________

 

Print out, fill out, and mail with check to: NILBMC Treasurer, P.O. Box 665, Warsaw, IN 46581

 

Contact us at: nilbmc@hotmail.com

 

for registration info contact: bruce@woodward-realty.com

 

phone: 574-551-1133

 

2008 Fall Out Car Show Information

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