Antique & Classic Car Registration FormHydroplane and Raceboat Museum and Americas Car Museum presents-:

The 7th Annual Vintage Boat and Car Show

Lake Chelan, Washington – October 7 & 8, 2017Owner: ______________________________Co-Owner : ____________________________Address:______________________________ City:____________________ State:____ Zip:_______Phone: Cell: _____________________________ Home: ________________________________Email:_________________________________________________________________________

Classic Car Entry (Note: No hot rods):Make/Manufacturer:_______________________________________________________________________

Model: _________________________________________________________________________________Style: (check all that apply) Convertible ______ Sedan ______ 4 Door _____ ________OtherTell us something unique about your car or famous history

Year: _____________ Color: ________________________Engine Make: _____________________________ Cylinders: ________ Horsepower: ______________Insurance Company and Policy Num-ber:___________________________________________________Classic Car Registration Fee: $40.00 due by September 18, 2016

$ ________ NOTE: Car Registration after September 18, 2016 will be $50.00Friday Night – Sept 30, Reception: $15.00/person # Attending? _____ $________Saturday Night - Oct. 1, Awards Banquet: $40.00/person # Attend-ing? _____ $________ At Campbell’s Resort - No refunds on banquet due to Resort policy and schedulingTotal:Make check payable to: HARM (Hydroplane & Raceboat Museum) Total Due:

$ _________Mail completed form & check to: M&M, c/o HRM, 5917 S 196th St, Kent, WA 98032 Questions? Call David Williams at 206-764-9453 or email ddw@aol.com

More info at: www.mahoganyandmerlot.com See us on Facebook – as Ma-hoganyMerlotLiability: I hereby waive any claim for injury to my person, car or personal property for damage or loss that may occur due to my participation either personally or personal property or equipment in the 6 th Annual Lake

Chelan Mahogany & Merlot Classic Car and Boat Show on September 30-October 2, 2016 at the Lake Shore Ma-rina in Chelan, Washington. I acknowledge that I am responsible for any family members, guests and/or minors that may accompany me on my car or within the restricted areas of the event. Further, I certify that I currently have effective insurance to cover any damage to my car, and to cover my liability from any damages to others and their property arising from the use of my boat during this eventI agree to hold harmless the Hydroplane and Raceboat Museum, City of Chelan and all sponsors, organizers, hosts of said Show, their employees, officers, agents, and volunteer assistants for any injury or loss resulting di-rectly and indirectly from any actions, failure to act, or omissions of said sponsors, organizers, host of said show, their employees, officers, agents, and volunteer assistants, or others having, or allegedly having, any connec-tion with said Show.

Please send copy of policy with registrationAgreed and accepted:Owner ________________________________________________________ Date ___________SIGNATURES REQUIRED WITH PAYMENT TO PROCESS ALL REGISTRATIONS