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  Summer Party 2017 Registration

TRF Summer Party 2017 Registration Form
“Please Register as Early as Possible to Help Us to Plan a Great Event”

To register for Summer Party 2017, please complete this form, including credit card payment information to cover the charges. Please provide full names for all persons you are registering, as separate name tags will be prepared for each one. An adult registration includes the car show, the field party, and all driving events plus one T-shirt. The Registration Fee will increase by $20.00 after July 14th as an incentive to receive the greater portion of the total number as early as possible for planning purposes. Credit cards will not be charged till July 14th, 2017, and cancellations will be accepted up till that time. Discounts do not apply to Summer Party Registrations, and gift certificates may not be used in payment. Payment by check is also acceptable on registrations sent by mail.

You may also register by telephone at 800-234-1104 or by Fax at 814-446-6729. You can download a PDF file by using this link if you wish to register by Fax or by Mail.

Upon arrival at Summer Party, you must present proof of insurance to participate in driving events, and you will need to sign the following waiver:
“I am aware of the hazards associated with motor vehicle events and specifically release The Roadster Factory, its owner and staff, and their heirs from any claims and actions on account of injury, death, or damage occurring before, during, or after the TRF Summer Party 2017 held in Indiana County, Pennsylvania, August 3, 4, 5, 2017.

REGISTRANT’S NAME
CUSTOMER NO
REGISTRANT #2
REGISTRANT #3
REGISTRANT #4
REGISTRANT #5
REGISTRANT #6
STREET ADDRESS
CITY STATE

ZIP

HOME TELEPHONE
WORK TELEPHONE
E-MAIL
FAX

QTY.

REGISTRATION TYPE

TOTAL FEES
For Adult Registrations
Adult registrations: @ $99.00 per car and driver
Please indicate size of Free T-Shirt included in Adult registration: S   M   L   XL   XXL XXXL
Adult Registration: @ $99.00 (Limit one with each Adult Car & Driver Registration)
Please indicate size of Free T-Shirt included in Adult registration: S   M   L   XL   XXL XXXL
For Youth/Child Registrations
SP2017/Youth registrations (ages 10 - 15): @$25.00
SP2017/CHILD Child registrations: (age 9 and under) @ FREE
Additional Registration Information
Camping @ $20.00 per family/site
RV/Motorhome Camping (with electricity) @$35.00 —limited availability
Additional T-Shirts and Dash Plaques
Summer Party 2017 Dash Plaques $3.00 (One included with $99.00 Registration)
  S RFN2017/S @ $15.00
  M RFN2017/M @ $15.00
  L RFN2017/L @ $15.00
  XL RFN2017/XL @ $15.00
  XXL RFN2017/XXL @ $15.00
  XXXL RFN2017/XXXL @ $15.00
  TOTAL REGISTRATION FEES 0.00
     
  * Adult registrations include Concours d’Elegance car show.  

METHOD OF PAYMENT:  
VISA MASTERCARD DISCOVER AMERICAN EXPRESS  
 CREDIT DEBIT
CARD NUMBER
EXPIRATION DATE
CARDHOLDER NAME
CARDHOLDER SIGNATURE (MAIL OR FAX)
CARDHOLDER ADDRESS VERIFICATION
SECURITY NUMBER FROM BACK OF CARD

HOW MANY CARS WILL YOU BE BRINGING?
MAKE
MODEL
YEAR
COLOUR
Body Style: Roadster, Coupe, or Convertible
ENTERED IN CONCOURS D’ ELEGANCE? YES NO  

MAKE
MODEL
YEAR
COLOUR
Body Style: Roadster, Coupe, or Convertible
ENTERED IN CONCOURS D’ ELEGANCE? YES NO  

MAKE
MODEL
YEAR
COLOUR
Body Style: Roadster, Coupe, or Convertible
ENTERED IN CONCOURS D’ ELEGANCE? YES NO  

MAKE
MODEL
YEAR
COLOUR
Body Style: Roadster, Coupe, or Convertible
ENTERED IN CONCOURS D’ ELEGANCE? YES NO