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Please Complete Car Registration and Make Check Payable to

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					Dear Classic Car Owner:

I would like to thank you for your past participation in one of our car shows in
Covington. I would like to invite you to Cars of the Past #19 being held on October 2nd,
2011 from 8am -4pm. There will be plenty of food, fun and music. Registration is $20
in advance and $25 day of the show. Registration is due by September 30th. Just fill out
the registration form and mail in. If you have any questions just give me a call at 404-
787-2852. Thanks

Lanier Sims


Please Complete Car Registration and Make Check Payable to: Rotary Club of Covington
Mail to Covington Car Show 235 Sims RD Covington, GA 30016


Name: ___________________________           Phone:_______________________________

Address: __________________________         City _____________ ST____ Zip_________

Email: ________________________________

Year: _______ Make:_______________          Model:_______________________


In consideration of acceptance to participate , entrants and participants, by execution of
this form, release and discharge members of the Covington Rotary Club , and the City of
Covington, of and from any and all liabilities and /or claims from any cause what so ever,
that may be suffered by any entrant to his/her property or person.

Signature:___________________________________ Date______________________

				
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posted:12/3/2011
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