docFirst 100 registered cars will receive a goody bag and dash plaque
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First 100 registered cars will receive a goody bag and dash plaque
First 100 registered cars will receive a goody bag and dash plaque Limited spaces – arrive early for a guaranteed spot Dash Plaques for the first 100 cars Goody Bags for the first 100 cars 50 / 50 cash raffle Door prizes -------------------------------------50 / 50 proceeds go to the Darrell Gwynn Foundation Best of Show (trophy & $200) 1968 – 1974 GTO Longest distance (trophy & $100) 2004 – 2006 GTO 1967 – 1969 Firebird 1962 – 1972 Grand Prix 1970 – 1981 Firebird 1973 – 1987 Grand Prix 1982 – 1992 Firebird 2004 – 2006 Grand Prix 1993 – 2002 Firebird 1969 & earlier All other Pontiacs 1984 – 1988 Fierro 1970 – 1979 All Other Pontiacs 1964 – 1967 GTO 1980 & older All Other Pontiacs Early Registration (nonrefundable), Please send $15 Check before Feb 15 payable to: Wally Goldscheck 11300 NW 24th Street Coral Springs, FL 33065 Name: _______________________________________________ Address: _____________________________________________ City / State / Zip: _______________________________________ Email Address: _________________________________________ Car Year: ____________ Pontiac Model: ____________________ By execution of this form the undersigned entrant agrees to hold harmless event sponsors, employees, and facility owners any and all claims, injuries or damages whether now known or unknown arising from the conduct of the Event and / or any other person associated with or participating with the Event. Entrant also releases all sponsors listed herein from any liability for any and all claims injuries and damages suffered by Entrant or as a result of participation in the event. Signature: _____________________________ Date: ___________ For more information call: (Eddy 561-596-2063) (Wally 954-224-3642)
