NEC-ACBS Boat Show Registration Form

Transcription

NEC-ACBS Boat Show Registration Form
NEC-ACBS Boat Show
Registration Form
FOR OFFICE USE ONLY
Cash___________________
42nd Annual Lake Winnipesaukee NEC-ACBS Boat Show
July 25, 2015 - 9AM - 2 PM
Charge_________________
PRE-REGISTRATION IS RECOMMENDED
DATE__________________
Are You an ACBS Member
Yes
No
Check__________________
Years attended show ___________
First Time at show
ACBS# _______________________ Chapter Affiliation___________________________________________________________
BOAT OWNER’S NAME ____________________________________________________________________________________
STREET ________________________________________ CITY _____________________ STATE _______ZIP______________
PHONE______________________________________EMAIL ______________________________________________________
CREW (List additional crew for name badges) ___________________________________________________________________
BOAT NAME _________________________________________________ YEAR_________LENGTH______________________
BOAT BUILDER_______________________________________MODEL_____________________________________________
ENGINE _________________________________________ CYL. _________ HP ___________ENGINE YEAR______________
JUDGED BOAT JUDGING CLASS_______________CATEGORY: Preserved_____
Late Contemporary_____
Wood
NON-JUDGED BOAT: (Check one) ______In Water
Restored_____
Fiberglass
Early Contemporary_____
Metal
______Land Display (limited space available)
A $20 late fee will be assessed for any boat(s) whose registration is received after July 1.
July 20th is the pre-registration cut off date for judged boats. Same day registration is only possible if there is room for your boat(s).
Member
Fee
EVENT
Non- Member
Fee
Number
Attending
Late Fee
for any registration
received after
July 1, 2015
TOTAL
Judged Boat
$50
$60
$ 20
$
Non-Judged Boat
$25
$35
$ 20
$
Friday Cocktail Reception
$15
$20
$
Saturday Awards & BBQ
$45
$50
$
Saturday Awards & BBQ
Children 12 and under
$10
$15
$
TOTAL
$
Please sign: INSURANCE AND LIABILITY WAIVER
I certify that I am an entrant/exhibitor in the 42nd Annual Lake Winnipesaukee Boat Show at Meredith, NH taking place on July 25, 2015 sponsored by the
New England Chapter of the Antique & Classic Boat Society (ACBS). Further, I certify that I have effective insurance to cover any damage to my boat and
to cover my liability for any damages to others, or their property, arising from any use of my boat during this event. I agree to hold harmless the ACBS, the
officers and volunteers of the New England Chapter of the ACBS, and all other sponsors of this event, their employees, agents, and volunteer assistants
for any injury or loss resulted, directly or indirectly, and from any and all actions, claims, liabilities, and assertions of liability which in any manner arise from
any and all activities connected directly or proximately with the Boat Show listed above.
Signature _________________________________________________Date _____________________
Send registration form and check payable to: NEC-ACBS, PO Box 1466, Wolfeboro, NH 03894
Your Registration Form and check must be received no later than July 1, 2015