Metro Detroit Chapter FCA

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					                                2010 FCA National Convention
                         “Falcon’s Fantastic 50th … Welcome Home”
                                        Metro Detroit Chapter FCA
                                         July 15-17, 2010
                                        Hyatt Regency Dearborn, Dearborn MI


Name_______________________________________Spouse/Guest______________________________

Street________________________________City________________________State______Zip_________

Email____________________________________FCA Chapter____________________FCA #_________

Signature_______________________________________Phone_________________________________
Note: Liability release must be signed to complete registration: Entrant releases Falcon Club of America Inc., Metro
Detroit Chapter of FCA and Host Hotel from all liability during this event.

Falcon Information
Year              Model                 Body Style               Engine     Color                        Category
1 _________       _____________         ______________           __________ ______________               ______

2 _________       _____________         ______________           __________ ______________               ______

3 _________       _____________         ______________           __________ ______________               ______

Categories: Stock, Daily Driver, Diamond in the Rough, Modified, Lite Modified (new category for 2010),
      Masters and Display (Class ties will be broken by registration date)

Trailer Parking Required: Yes ______ No______

REGISTER EARLY!                 Prior to        July 1
                                July 1          & After                                  Qty     Total

First vehicle                $20                $25                                      ___     $ ___________
Additional vehicles (each)   $15                $20                                      ___     $ ___________
No Falcon (voting rights)    $15                $20                                      ___     $ ___________
Swap space(s) (each)         $20                $30                                      ___     $ ___________
T-shirt                      $15                $17     S___ M___ L___ XL ___            ___     $ ___________
                             $18                $20          XXL___ XXXL ___             ___     $ ___________
Banquet Sat Night (Adult)    $35                $40                                      ___     $ ___________
Sat Night Pizza Party (Kids13/under)
                             $10                $10                                      ___     $ ___________

                                                                                         Total $____________
Hotel Information
Hyatt Regency Dearborn ($105 + tax per night. Must mention “Falcon Club” to receive this rate.)
600 Town Center Drive
Dearborn, MI 48126                      ** Visit http://fca2010detroit.webs.com/ for updates to activities
313 593 1234                               and additional information **

Make check payable to:
Metro Detroit Falcon Club and mail
                                                  For information please contact:
Registration form w/check to:
                                                  Gordon Leslie 313-382-2993 gogofalcon@att.net
Alan Aniol
                                                  Mike Eaves 313-386-3209 michaeleaves@att.net
15405 Dondero
                                                  Alan Aniol 734-282-8188 joanal@wideopenwest.com
Southgate, MI 48195

				
Jun Wang Jun Wang Dr
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