Las Vegas AMC Reunion Registration Form
Name____________________________________________________
Address__________________________________________________
City___________________State_____________Zip______________
Daytime Phone______________Evening Phone__________________
E-mail___________________________________________________
Club Affiliation____________________________________________
Vehicles Registered:
Make_______________Model__________________Year________
Make_______________Model__________________Year________
Make_______________Model__________________Year________
Make_______________Model__________________Year________
REGISTRATION FEE:
$40 per car (registration includes event t-shirt)
Please indicate shirt size: S____M____L____XL____XXL____XXXL____
Additional shirts available for $20 per shirt: Qty____Size(s)______
SWAP MEET SPACE:
$30 per space (20' x 20') No. of spaces_____
TOTAL OF ALL FEES................ $________________
Please make checks payable to:
SOUTHERN NEVADA AMC CLUB
Mail to:
Las Vegas AMC Reunion
c/o Raymond Hatcher
8300 Opal Cove Dr.
Las Vegas, NV 89128
Show officials reserve the right to restrict entrants to
acceptable behavior during any and all activities related to this
event. In consideration of acceptance to participate, by execution of
this registration form, entrants and participants release and discharge
the meet committee members and sponsors from any and all liabilities
and/or claims from any cause, whatsoever, that may be suffered by any
entrant to his property or person.
______________________________________
Signature