ROD RUN APPELLATION

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ROD RUN APPELLATION

n:schemas-. O. Box2010 99, Ca., 96009-4404

e-mail

36 Annual Rod Run Application

Open to all vehicles thru 1969. Limited to the first 150 entries.

Entry includes: One vehicle, 2 adults, and their children 12 years and younger

July, 9 &10, 2010

Send to

GVSR

P.O. Box 994404

Redding, CA 96099-4404

ANY QUESTIONS CALL Coy Moody at 530-275-4833 OR SUSIE Ide at 530-275-5371

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Name_______________________________________________spouse______________

Address_________________________________________________________________

City, State, Zip___________________________________Tel #____________________

Car Year______________ Make____________________ Model___________________

Club affiliation___________________________________________________________

e-mail address____________________________________________________________

Entry Fee: $55.00 per vehicle: Includes Friday and Saturday lunch, Potluck Friday night, Continental breakfast Saturday morning, Show and Shine, Poker Run, Saturday night dinner, Dash Plaque, and 1 T shirt

Possible Golf on Friday morning, weather and course availability. Raffle on Saturday during Show and Shine

Saturday only: $25.00 includes Show and Shine, Poker Run, and Lunch

Please tell us the size for the free shirt ______________

Quantity Total

Extra Dinners $10.00 each x _______ = _______ (6 year and under free)

Extra T-shirts $12.50 s/m/l x _______ = _______

Extra T-shirt $14.50 xxl + x _______ = _______

Registration Fee $55.00

Saturday only $25.00

PAY THIS AMOUNT =_________

Entrant Signature_________________________________________

In consideration of the acceptance of the right to participate, entrants, participants and spectators by execution of this form release and discharge GVSR, the city of McCloud their officers, directors, employees, agents or representatives, anyone else concerned with the presentation of the Volcano Run of all known and unknown damages, losses, injuries, judgments, and/or claims from any cause that may be suffered by entrants to his person or property. I understand and agree there will be no refunds


	\| home ROD RUN APPELLATION n:schemas-. O. Box2010 99, Ca., 96009-4404 e-mail 36 Annual Rod Run Application Open to all vehicles thru 1969. Limited to the first 150 entries. Entry includes: One vehicle, 2 adults, and their children 12 years and younger July, 9 &10, 2010 Send to GVSR P.O. Box 994404 Redding, CA 96099-4404 ANY QUESTIONS CALL Coy Moody at 530-275-4833 OR SUSIE Ide at 530-275-5371 ------------------------------------------------------------------------------------------------------------ Name_______________________________________________spouse______________ Address_________________________________________________________________ City, State, Zip___________________________________Tel #____________________ Car Year______________ Make____________________ Model___________________ Club affiliation___________________________________________________________ e-mail address____________________________________________________________ Entry Fee: $55.00 per vehicle: Includes Friday and Saturday lunch, Potluck Friday night, Continental breakfast Saturday morning, Show and Shine, Poker Run, Saturday night dinner, Dash Plaque, and 1 T shirt Possible Golf on Friday morning, weather and course availability. Raffle on Saturday during Show and Shine Saturday only: $25.00 includes Show and Shine, Poker Run, and Lunch Please tell us the size for the free shirt ______________ Quantity Total Extra Dinners $10.00 each x _______ = _______ (6 year and under free) Extra T-shirts $12.50 s/m/l x _______ = _______ Extra T-shirt $14.50 xxl + x _______ = _______ Registration Fee $55.00 Saturday only $25.00 PAY THIS AMOUNT =_________ Entrant Signature_________________________________________ In consideration of the acceptance of the right to participate, entrants, participants and spectators by execution of this form release and discharge GVSR, the city of McCloud their officers, directors, employees, agents or representatives, anyone else concerned with the presentation of the Volcano Run of all known and unknown damages, losses, injuries, judgments, and/or claims from any cause that may be suffered by entrants to his person or property. I understand and agree there will be no refunds