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'Western Washington All British Field Meet' entry form
All British Field Meet
www.abfm.com
1. Print
2. Complete form
3. Sign and send:
  fax or send by snail mail.

* To qualify for the Early Entry Drawing your entry must be post marked or faxed by June 23, 2006 *

 Please contact us with any queries:
Phone: 425 . 644 . 7874
Fax: 425 . 747 . 0205
Email: ataub@worldnet.att.net

Postal address:
Puget Sound British Automotive Society   17610 NE 8th Place   Bellevue WA 98008




First name 
Last name 
Address 
City & State 
Zip / postal code 
Phone 
Fax 
Club 
Email address 


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 July 20, 2006.
– make – year – model – color – body style –
1
2
3
4


Regalia

(enter qty)
T-shirtsM L XL 
Sweat shirtsM L XL 
Golf shirtsM L XL 


Fees

Item Qty Price Sub-total
First vehicle $30.00 
Additional vehicles $15.00 
Breakfast and Drive $  5.00 
First Swap Meet Space $30.00 
Additional Swap Meet $15.00 
For Sale Space $30.00 
T-Shirts $16.00 
Sweat Shirts $22.00 
Golf Shirts $28.00 
Dash Plaque $  6.00 
    
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

FAX to: (425) 747-0205


Please circle one:
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.