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2016 3 rd ANNUAL FAMILY REUNION September 3 rd - 4 th , 2016 Therewillalsobeaninformalgatheringandpot-luckdinnerintheshowparkinglotFridaynight,September2after4PM. DoubleTree Suites, Pleasanton, CA ClassicNovamusclecarfans,thisisashowyoucan’tmiss! ThepremierNovas-onlyfamilyfriendlygatheringfeaturesconvertibles,wagons,supersportsand sedansfrom1962to1979;swapmeetwithhard-to-findparts,raffleprizes,auctionandmore.It doesn’tmatterifyou’vegotaNovathatisaworkinprogress,a6-banger,afullblownbigblock, anLSconversion,ashowcaroranythinginbetween,thisshowisforyou. Formoreinformation: norcalnovas.com SPONSOREDBY MikeAnderson:[email protected] (415)608-9968 JoeMendoza:[email protected] SPONSOREDBY DoubleTreeRoomReservations: (925)463-8000 classicnova.com [email protected] (541)482-5658 Proceedsgoto 11•99 FOUNDATION churchboysracing.com [email protected] (330)442-7169 3rdAnnualNor-CalNovasFamilyReunionCarShow September3-4,2016–Pleasanton,CA on tes m a d u p te .c o i ow Foll snovas e v p t he s te and asgrou v o k n cal b oo nor nface o REGISTRATIONFORM ThisformmustbefilledoutcompletelyandretunedbyAugust1,2016to: Nor-CalNovas,POBox280521,SanFrancisco,CA94128 RegisterearlytoensureyougetaReuniont-shirt.T-shirtsarefreewithregistrationwhilesupplieslast.TheNor-CalNovaFamily ReunionCarShowstartsSaturday,September3,2015at8AMandtakesplaceattheDoubleTreeSuiteslocatedat7050Johnson Drive,Pleasanton,CA94588.Forquestionsabouttheshow,ortohelpwithsponsorshipsorraffleitems,pleaseemail [email protected]. Therewillbeaninformalgatheringandpot-luckdinnerintheshowparkinglotFridaynight,September2after4PM. Name: ______________________________________ Steve’sNovaSiteScreenName: Address: ______________________________ __________________________________________ City:________________________ State:_____Zip:________ Phone: (______)_____________________________ T-shirtSize: S email: ___________________________________________________ M L XL 2XL 3XL (Circleonesizeonly,t-shirtsincludedwhilesupplieslast) st 1 NOVAREGISTRATION Year: ____________ Model: ____________________ Engine: ___________________ BodyColor: ______________________________________ InsuranceCo: InteriorColor: Lic.Plate#: _______________ ________________________________________ __________________________________ Ins.Policy#:____________________________________________ ADDITIONALNOVA(s)(ifbringingmorethanonenovatotheshow;addadditionalsheetsifnecessary) Year: ____________ Model: ____________________ Engine: ___________________ BodyColor: ______________________________________ InsuranceCo: InteriorColor: Lic.Plate#: _______________ ________________________________________ __________________________________ Ins.Policy#:____________________________________________ Registrationfor1stCar(includesReuniont-shirtwhilesupplieslast) Eachadditionalcar(fromthesameowner,includest-shirtwhilesupplieslast) $30.00* *Add$5.00forday-of-showregistrations Qty:____X$10= $_____ S AdditionalCarRegistrationT-shirtSize: Amount Qty:____X$5withcarregistration $_____ –or– Qty:____X$20w/ocarregistration $_____ Total: $_____ XL L M SwapMeetSpace,20’x15’ 2XL 3XL MakecheckspayabletoNOR-CALNOVASandmailtoNOR-CALNOVAS,POBox280521,SanFrancisco,CA94128 ADDITIONALINFORMATION:OnsiteregistrationopensSaturday,September4at8AM.Onlyregisteredcarswillbeallowedinthecarshowarea.No“ForSale”signs allowedoncarsintheshowarea.MotorHomesarenotpermittedattheshoworinthehotelparkinglot.Emailaddressesarenotsoldorgivenouttoanyone;they areusedfornotificationsoffutureNor-CalNovas’EventsOnly. HOTELRESERVATIONINFORMATION:Showrateis$104pernight(singleoccupancy)and$109pernight(doubleoccupancy)andisseparatefromtheshow registration.Roomratesincludefullbuffet/Americanbreakfastperperson/pernight.Thespecialroomratesdonotincludelocalfeesortaxes.Youmustcontactthe hoteldirectlytoreserverooms.ContactthePleasantonDoubleTreeat(925)463-8000andaskforthe“Nor-CalNovasReunion”specialratesabove.Roomsmustbe bookedbyAugust14,2016fortheshowrate.Roomsarelimitedandallattendeesareencouragedtoreserveroomsearly.A24-hourcancellationpolicywillbein effectandalldepositswillbeforfeitedafterthistimeperiod.Check-intimeis4PMandcheck-outis11AM. LIABILITY&PUBLICATIONRELEASE:Bysubmittingthisform,IherebyreleaseNor-CalNovas,theirofficers,directors,agents,sponsors,representativesoranyoneelse connectedwiththisevent,ofanyformofknownorunknowndamages,injuries,losses,judgmentsand/orclaimsfromanycausewhatsoeverthatmaybesufferedby anyentranttohisorherpersonorpropertyandallliabilityofpersonalorpublicpropertydamageresultingfromparticipationintheeventknownastheNor-Cal NovasFamilyReunion&CarShow.Ialsogivemypermissiontousephotographsofmyvehicleinanypublicationorpromotion(e.g.eventprograms,magazines,TV promos,etc.IalsocertifythatIamovertheageof18asindicatedbelow. Signature: __________________________________ Date __________________ Areyou18orOlder: Yes No