|
PRINT and SUBMIT BEFORE JUNE
15, 2004
Name__________________________________________________________
Full Mailing
Address______________________________________________
_______________________________________________________________
_______________________________________________________________
Telephone______________________________________________________
Email__________________________________________________________
(Registration will be confirmed by email)
Vehicle (s) Multiple Vehicle registration rate. $15
per additional vehicle
(1)____________________________________________________________
(2)____________________________________________________________
(3)____________________________________________________________
RELEASE: We by signing
below, agree for ourselves, our heirs and assigns, to save harmless
and waive liability against BMAPEI/Cymbria Lions, their members or
agents for any and all personal injury or property damage direct or
indirect, which may, might or could be occasioned by us or our
personal property while participating in British Car Days across the
Bridge.
NO REGISTRATION WILL BE ACCEPTED WITHOUT A SIGNATURE
Signature______________________________________________
Date__________________________________________________
Please send $25.00 Canadian Registration Fee to:
British Motoring Association of Prince Edward Island
P.O. Box 1773, Charlottetow, PEI, Canada C1A 7N4
Attn: Chris Spenceley
Make Cheques payable to "BMAPEI"
Please indicate which events you plan to attend.
___ Golf Tournament (See
detailed itinerary) ______People
___ Friday Reception (No Charge)
______People
___ Car Show
($25 Registration Fee)
______People
___ Awards Banquet ($26 all
inclusive per per) ______People
___ Bus Tours
($10 adults, $5 Child)
______People
___ British Breakfast ($6 per
person)
______People
___ Closing Ceremony (No charge)
______People
___ CD Rom
______Qty
___ T-Shirts
_____S _____M
_____L _____XL
ALL EVENTS PAID ON-SITE
Send only registration fee at this time
|