PBCA Show Registration form

		________	_______
(Do not fill in)->		Class	Car No.

REGISTRATION FORM

"Brits on the Bay" BRITISH CAR SHOW

April 19, 2008

Show Registration:

Received by April 18: $20.00 *(fee $5 more at show)

Additional cars/bikes: $10.00.

If you register on Friday or Saturday, the fee is: $25.00

Ballots and dash plaques will be put in drivers seat of car at about 12pm. Turn in by 2 pm.

Card slip with your car number is for the door prize drawing. If you want to take a chance on the raffle prizes displayed, buy raffle tickets from ticket vendors.

Name (Last,First, MI)	Email
Address
City/State/Zip
Phone(s)

Car/Bike #1: Year Model: Color:

Car/Bike #2: Year Model: Color:

I plan to attend the Friday night
"Red Beans and Rice" Social (Free):

<-Yes

<-No

Number attending:

Make checks payable to "PBCA" & mail it with this printed form to:

Tom Schmitz, PBCA Treasurer

9609 Soldiers Creek Drive

Lillian, AL 36549

I am aware of the hazards inherent with motor vehicle events and specifically release and do indemnify the organizers, supporting sponsors, and the Panhandle British Car Association,Inc., collectively and separately, from any and all liability from personal injury or property damage incurred by me or my guests while participating in the 2008 Pensacola British Car Show. I understand and agree that the Panhandle British Car Association, Inc., reserves the right to revoke my registration and retain my registration fee should I engage in reckless, dangerous, and/or unsafe behavior. I HAVE READ, UNDERSTAND, AND AGREE TO THIS RELEASE.

Signature______________________________________________Date_________________________

PBCA is an Affiliate of The North American MGB Register.