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					                               Drumright Historical Society - Discovery Days

                                                 Classic Car Show

                                                   Registration



Online registration is June 1st, 2011

Registration fee is $15.00

Registration fee if paid at the gate is $20.00

Forms of payment: check made out to “Drumright Historical Society” or PayPal payment, (keep a record
of your payment verification number as proof of payment) or cash at the gate.

Contact Carol Dobson at 918-352-3002 or email @ carol@drumrighthistoricalsociety.org


 Car Show Participants Waiver

 In consideration of the acceptance of the right to participate, entrants, by right of execution of this form,
 release and discharge, Drumright Historical Society, and all involved with them from all known or unknown
 damages, injuries, losses, judgments, and claims from any cause whatsoever that may be suffered by an
 entrant to his/her person or property.

 Electronic Signature

 I have read and agree with the Car Show Participants Waiver statement and sign this form by pushing the
 submit button after completing the form below.



Full Name ____________________________________________________________________________

Street Address_________________________________________________________________________

City, State Zip__________________________________________________________________________

Phone number_________________________________________________________________________

Email address__________________________________________________________________________

Auto year, make and model______________________________________________________________

Specialnotes___________________________________________________________________________
_____________________________________________________________________________________

				
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posted:11/19/2011
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