Carolinas Chapter 8th Regional Falcon Meet
and All Ford Show - September 26th & 27th, 2008
Name____________________________ Spouse/Guest__________________________________
Address_______________________________________ City______________________________
State____________ Zip__________ Phone___________________________________________
Chapter_______________________ FCA#________________ Email_______________________
Entrant releases the FCA, Carolina Chapter, Sams Club & Holiday Inn Express from all liability
Signature __________________________________________________________________
CATEGORIES: STOCK MODIFIED MOST POTENTIAL MASTERS ALL FORD
Car(s) 19____ Model____________________ Category_________________________
Car(s) 19____ Model____________________ Category_________________________
First Vehicle @$15 $______________________
Second Vehicle @$15 $______________________
No Vehicle @$15 $______________________
Swap Spaces Qty _____ FREE
Meet T-Shirt S______ M______ L______ XL______ @ $15 $________________
XXL_____ XXXL_____ @ $17 $ ________________
Awards Banquet Qty Adult_________________ @$10 $________________
Total Enclosed $ _________________
***Early Bird Registration Give Away Prize Must Register Before August 1st, 2008***
(2 Free Nights at Host Hotel or Money of Equal Value)
Mail Registration To:
Joyce Baxter
1192 Mirror Lake Road
Lincolnton, NC 28092