Las Vegas AMC Reunion Registration Form

Name____________________________________________

Address______________________________________________

City________________State_____________Zip__________

Daytime Phone______________Evening Phone_______________

E-mail_________________________________________

Vehicles Registered:

Make_____ModelYear
Make_Model____Year
Make_Model____Year
Make_Model____Year

Registration Fee: $10 per car before October 15th
................................$15 per car after October 15th

SWAP MEET SPACE:
Registered before October 15th...$20 per space
Registered after October 15th......$25 per space

TOTAL OF ALL FEES................ $
Please make checks payable to:
SOUTHERN NEVADA AMC CLUB
and mail to:
Las Vegas AMC Reunion, 1323 Aspen Dr., Boulder City, NV 89005

Show officials reserve the right to restrict entrants to acceptable behavior during any and all activities related to this event. In consideration of acceptance to participate, by execution of this registration form, entrants and participants release and discharge the meet committee members and sponsors from any and all liabilities and/or claims from any cause, whatsoever, that may be suffered by any entrant to his property or person.

______________________
Signature