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Deadline for Pre-Registration is  March 10, 2010

Registration form must be signed!

          The below signed hereby waives any claims against Lakeland VW Classic, volunteers, sponsors, property owners, and their representatives from any liability, personal injury, damages or any other loss incurred as a result of the above signed participation in Lakeland VW Classic 2010 and shall hold harmless that aforementioned. The below signed understands that he/she is participating in VW Classic 2010 voluntarily and totally at his/her own risk. The One Fee Registration Covers Both Days.

The Lakeland VW Classic will be held at The Lakeland Center, 701 West Lime Street, Lakeland, Fla. 33815-1509

A Shower will be available this Year.

Unsigned applications will not be accepted.

Please specify on your registration form the class you feel you belong in.

 

 

Name _________________________________

Address  _________________________________

City  _______________ State  ________ Zip  ______

Phone  ___________ E-mail  ________________

Date  ______ Year & Model ___________________

Club Affiliation________________Car Class A-1 Tru 10-M___________

Signature___________________

T- Shirt Size____________

            Mail form with $20 for pre- registration  , day of Show will cost $25

Used parts $25 for Pre-registration $40 day of Show. New Parts $100 Pre-registration  

$150 Day of Show.  Car Coral for sale $20, $25 day of Show. The One FEE Registration Covers  Both Days

 

Please make Checks & Money orders out to:
 

 KJV Enterprises

 209 Highview Lane

Lakeland, Fla. 33803-4757

 

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