You must be a National Member of the Early Ford V-8 Club of America to Register

Transcription

1 Questions? Call Registration at MEET REGISTRATION FORM You must be a National Member of the Early Ford V-8 Club of America to Register Early Ford V-8 Club Membership Number (Located on your V-8 Club ID card) Regional Group # Last Name: First Name: First / Last Name for Nametag: First / Last Name for Spouse/Friend Nametag: First / Last Names of Others in Party: Street Address: City: State: Zip Code: Phone Number: Cell Number: If provided, this will be our primary method of contacting you This is my first time attending a National Meet: Yes No SORRY, NO REFUNDS AFTER AUGUST 1, 2019 Space is limited at some events. Please return your forms ASAP to ensure that space is available for you Thank You. Qty/Number Price Each Total Registration Fee (includes meet registration and one vehicle) 1 x $ $ Late Registration Fee after June 1 x $ $ Trailer Parking x $ $ Additional Vehicle x $ $ Swap Meet Space (Outdoor 20'x20') x $ $ Registration Total $ Meal Selections See more information in 2019 CNM Information Package, Page 3 Sunday August 25 - Welcome Reception Buffet Meal x $ $ Monday August 26 - Concourse Day - food available for purchase adjacent to concourse Tuesday August 27 - Awards Dinner Banquet Includes admission to Auburn Cord Duesenberg Museum - Make your selections below: Hickory Smoked Brisket x $ $ Almond Crusted Chicken x $ $ Grilled Salmon x $ $ Eggplant Parmesan x $ $ Meals Total $ Please list any Special Dietary Needs

2 Name Registration # Meet Merchandise and Raffles - See descriptions of all items in 2019 CNM Information Package, Pages 4-6 Meet T-Shirts (Men s style) Ice Gray Color Qty/Number Price Each Total S M L XL x $ XXL XXXL x $ Meet T-Shirts (Men s style) Black S M L XL x $ XXL XXXL x $ Men s Meet Polo Shirts Heather Gray Color with Pocket S M L XL x $ XXL XXXL x $ Ladies Meet Polo Shirt Heather Gray Color S M L XL x $ XXL XXXL x $ Meet Blue Denim Long-Sleeve Shirt with Pocket S M L XL x $ $ XXL XXXL x $ $ Baseball Cap with Meet Logo x $ $ Hat Pin with Meet Logo x $ 5.00 $ Gearshift Knob with Meet Logo x $ $ Raffle Tickets Your Choice Raffle (Sheet of 26 tickets) x $ $ Raffle Tickets Descriptions Hand-made Amish quilt x $2 each or 3 for $5 $ Custom designed travel purse x $2 each or 3 for $5 $ Ford Tailgate Bench x $2 each or 3 for $5 $ Trailer Tongue Box x $2 each or 3 for $5 $ Merchandise Total $

3 Name Registration # Tours See Details in 2019 CNM Information Package, Page 3 Tour/Event Qty/Number Price Each Total Tour to Portland Antique Engine and Tractor Show This 75-mile driving tour to the 54 th Annual Antique Engine and Tractor Show at the Jay County Fairgrounds in Portland, Indiana will leave from the Walmart parking lot at 8:00 am. Food is available on site. Ladies Concourse Day Tour Saturday 8:00 am # of Participants $ 5.00 $ Monday 8:30 am This will be a 45-mile bus trip to Shipshewana for shopping and lunch on your own. The bus will be leaving from the Walmart parking lot at 8:30 am. RV/Motorhome Museum Tour # of Participants x $ $ Tuesday 8:00 am This will be an 80-mile driving tour to the RV/MH Museum in Elkhorn, Indiana. The $10 fee includes museum admission. Participants will gather at 8:00 in the Walmart parking lot, departing at 8:30. # of Participants x $ $ Tours Total $ ACKNOWLEDGEMENT AND RELEASE OF LIABILITY I agree to be fully responsible for myself, my vehicle or vehicles, and my passengers at all times; I hereby release the Ohio RG #141, the Indiana RG #56, and the Early Ford V-8 Club of America, Inc., their officers, agents, assignees, and employees and successors of any kind, from any and all liability arising from the holding of this event, including their release from liability for any act, thing or event including negligence or omission to act during or by reason of holding this event. Signature: Totals Page 1, Registration Page 1, Meals Page 2, Merchandise Page 3, Tours Grand Total If you prefer to pay by credit card, check here and we will call you for CC information. Questions? Contact Registration at registration@2019cnm.com Phone: MAKE CHECKS PAYABLE TO: EFV8 Ohio Region 141 MAIL TO: 1N410 Forest Ave. Glen Ellyn, IL 60137

4 Vehicle Registration Form Please use one form per vehicle All vehicles must have and display an Underwriters Laboratories listed fire extinguisher with a minimum capacity of 2½ lbs. and complete the Operational Check prior to placement on the Concourse at national meets. The fire extinguisher must be displayed by the vehicle s left front wheel on the Concourse. Is This The First Time The Vehicle Is Being Displayed At A V-8 Club National Meet? Yes No Will you need car trailer parking for your V-8? Yes No Trailer License Plate: Owner: Name: Address: City: State: Zip: Cell #: Vehicle: Make: Year: Serial #: Body Style: Color: License Plate: Vehicle Registration Judging Categories: Check the Division in Which You Want To Be Registered * * Definitions and qualifications for each division are explained in the Judging Manual available on the National Club website, under National Club Information/Forms or in the V-8 Club Roster for 2015 and prior. If you do not know which division to check, leave this selection blank and you will be contacted by registration. Concourse: Vehicle will be Point Judged. Awarded the Dearborn Award with a minimum of 950 points. Dearborn: Must have a Dearborn Award Point Judged - Awarded the Dearborn Medallion with a minimum of 925 points.... Dearborn Emeritus: Vehicle is not Point Judged. This category is open to Dearborn Award vehicles that have received at least a Dearborn Plaque plus 2 medallions. Vehicles will be visually inspected to become eligible for a Dearborn Emeritus Medallion.... Rouge Preservation: Vehicle will be inspected for originality of various areas. Check area(s) that you believe to be original: INTERIOR EXTERIOR RUNNING GEAR Has this vehicle previously won a Rouge plaque? Yes No... Touring: All eligible club vehicles entered which are not point-judged or participating in the Rouge Division Touring and Touring A: Touring A vehicles will be subject to under-hood inspection for allowable equipment Display: Vehicles of Ford manufacture from that do not qualify for any of the other concourse or touring classifications Attention Vehicle Owners: In order to better understand the judging process, your attendance is mandatory at the Judges /Owners Meeting on Sunday, August 25 th at the EFV8 Foundation Museum. Thank you. Insurance Requirement: Acknowledgement of Responsibility and Maintenance of Insurance: I am registered to enter my Ford Manufactured Vehicle at the Central National Meet to be held, in Auburn, IN. I acknowledge that I must maintain personal automobile liability and property damage insurance in order to register for, and participate in, the Meet. I verify by my signature below that I will maintain an adequate amount of such insurance. Insurance Company Name Policy Number Owner s Signature Date

5 CONCOURSE JUDGING INVITATION/QUESTIONNAIRE We invite all members to participate as Concourse judges. If you would like to help judge, please fill in the information requested below and return this form with your registration. Mandatory Judges and Owners Meeting will be Sunday afternoon, August 25, 2019 at the EFV8 Foundation Museum. Judges Breakfast will be Monday, August 26, 2019 at the Baymont Hotel. Last Name: First Name: Street Address: City: State: Zip: Phone # Cell # NOTE: Judges will be provided a Judges Shirt to wear for Concourse Day. Please check your shirt size: Small Med Large X-Large XX-Large XXX-Large What would you like to judge: (Check One) FORD MERCURY LINCOLN TRUCKS What Year(s) - 1 st Choice Year: Engine/Chassis Interior/Exterior - 2 nd Choice Year: Engine/Chassis Interior/Exterior Please note: To ensure fairness, we do not permit members to judge the class in which they have entered a vehicle at this meet or a vehicle at this meet which they have worked on, restored, or own. Please do not ask for this class. Thank You! Will this be your first time judging at a National V-8 Meet? Yes No Years/models of Early V-8 s you have owned: Years/models of Early V-8 s you have restored: I will not have a vehicle being point judged at this meet. I will be entering my 19 Make/Model for point judging in the Concourse or Dearborn Division. I will be entering my 19 Make/Model for inspection in the Rouge Division. Have you ever served as a Deputy Judge (team captain)? Yes No Are you willing to serve as a Deputy Judge? Yes No