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“A Salute to the Greatest Generation”
42nd Model A Ford Texas Tour
Hosted by the Lone Star Model A Ford Club
June 9-12, 2005 - Georgetown, Texas, USA
Historical Information Only!

Name: __________________________________________________ Spouse: ___________________________________

Address: _________________________________ City: ____________________________ State: ____Zip:____________

Phone: ___________________

Club Affiliation: ______________________________  Driver’s Name_________________________

Email address for correspondence: ________________________

Names and ages of minor children attending: _________________

ALL REGISTRATION CONFIRMATIONS WILL BE SENT VIA REGULAR MAIL SERVICE

Model A you are bringing: Year _______ Body Style: ________________Would you like your car judged? YES___NO___

Do you need an Era Fashions judging form? YES___ NO ___ Hotel where registered: _____________________________

Will you be racing a car in the Hubley Derby? YES___ NO___

Registration and Events Cost Quantity Total
Registration fee postmarked April 10th and later $35    
Thursday, June 9th – Welcome Party (includes dinner) $10/person    
Friday, June 10th – Bus Tour to Austin  (Tour of Texas Capitol Building, Governor’s Mansion and Bob Bullock Texas State History Museum) $22/person    
Friday, June 10th- Fashion Show $5/person    
Friday, June 10th – Men’s Technical Seminar $1/person    
Friday, June 10th – Dinner and Bingo Evening - (limited to first 375) $25/adult  $12.50/child*    
Saturday, June 11th – Grand Tour (includes lunch) $10 /person    
Saturday, June 11th  – Awards Banquet - (limited to first 375) $28/adult  $14/child*    
*Child meal ticket prices are for ages 6-12 - Ages 5 and under eat free ------------------    
Model A Engine Raffle Tickets $5.00 (5 for $20.00)    
Tour Logo T-shirts:  # SM. ____ # MED. ____ # LG. ____ # XLG. ____ $13.00 each    

#XXLG. ____       

$14.50 each    
TOTAL ENCLOSED: ------------------ ------------------  

MAKE CHECKS PAYABLE TO “42nd TEXAS TOUR”

********** NO REFUNDS AFTER MAY 15TH **********

REGISTRARS: Xyz

TOUR CHAIRMEN: Xyz

I HEREBY RELEASE THE MODEL A FORD CLUB OF AMERICA INC. AND THE LONE STAR MODEL A FORD CLUB FROM ANY AND ALL LIABILITIES. SUBMITTAL OF THIS REGISTRATION FORM WHETHER SIGNED OR UNSIGNED CONSTITUTES ACCEPTANCE OF THIS RELEASE.

Signature: ___________________________________________________________________

 Date:________________________

 

Created December 2004

RAJ


Last updated: June 23, 2017

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This web site was created on July 25, 1999.