2008 ABFM Entry Form

Please complete all information on form and then print completed form.  Sign the completed and printed form, then send/fax to address/fax# at bottom.  To qualify for the Early Entry Drawing your entry must be post marked or faxed by June 26, 2008

Name 
Second Name 
Address 
City  State  Zip/Postal 
Phone  Fax  Club 
Email 
 
Vehicle Information (Classes will be determined by number of entrants) 

1st Vehicle entry will receive a Dash Plaque, Souvenir Program with Pre Registration Only.
Pre-Registration deadline is Wed. July 23, 2008
 
            Make, Year, Model, Color, Body Style
1 
2 
3 
4 
Regalia (Enter Qty)
T-shirts M  L  XL 
T-shirts XXL  XXXL 
T-Shirts S
Fees 
Item Qty Price Sub-Total
First Vehicle $35.00
Additional Vehicles $15.00
Breakfast and Drive $10..00
First Swap Meet Space $35.00
Additional Swap Meet $20.00
For Sale Space $35.00
T-Shirts S-XL $18.00
T-Shirts XXL-XXXL $20.00
Dash Plaque $6.00
Grill Badge (JAGUAR $39.95
COLOR POSTER $10.00

TOTAL

I agree to insure my vehicle against loss, damage, and liability.  I agree to assume the risk of any damage or injury, and to indemnify and hold harmless The Puget Sound British Automotive Society, its officers, and directors or agents for any acts of omission which may result in the theft, damage, or destruction of my property or injury to me or others occurring during or as a consequence of this meet including but not limited to: overnight storage, and all places associated with this meet.

Signature:___________________________________________________Date:

Payment Method
All payment must be in US Funds.

Please make checks payable to Puget Sound British Automotive Society (PSBAS)

Mail printed form to Arnie Taub 17610 NE 8th Place Bellevue WA 98008
Your Entry Form & Credit Card information can be sent by FAX to: (425) 747-0205

Check Visa Mastercard

Card Number ExpDate 

Signature 


There will be no refunds or cancellations within 14 days of the event.  All entries received prior to July 1st will be confirmed.