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________

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REGISTRATION FEE:

$30 per car (registration includes event t-shirt)

Please indicate shirt size: S____M____L____XL____XXL____XXXL____

Additional shirts available for $18 per shirt: Qty____Size(s)______

SWAP MEET SPACE:

$20 per space (20' x 20') No. of spaces_____

TOTAL OF ALL FEES................ $________________

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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