csregform

June 24th THRU 26th 2011

Registration fee for Corvettes at Lake Tahoe Car Show

      Last Name   _________________________________   First Name ______________________________

      Spouse/Guest's Last Name _______________________   First Name ______________________________

      Mailing Address ______________________________________________________________________

      City ________________________________________ State _________ Zip _____________________

      Telephone: home (_______) __________________     cell (_______) ____________________________

      E-mail address ______________________________ Club Affiliation: _____________________________

                                             □ convertible □ coupe
      Car Year _____ Model □ roadster    □ other__________        Car Color_______________

1 T-shirt included with
registration - circle size

Additional T- shirt(s)

Sm M L XL XXL 3XL

Sm M L XL XXL 3XL

1 Included
Additional T- shirts
# ______ @ $17/ea

PLEASE INDICATE SIZE

1 Included
Additional T- shirts
# ______ @ $17/ea

PLEASE INDICATE SIZE

$150 per couple

$ 125 per single

1 Poker hand included with
either couple or single
registration

Saturday 3 - 4:30 pm
Extra Poker Hands can also

be purchased at the event

1 Included
Additional Poker Hand(s)

# _______ @ $5/ea

1 Included
Additional Poker Hand(s)

# _______ @ $5/ea

Please fill out form and mail along with check(s)
payable to "Lake Tahoe Corvette Club"
to Charlie Hyatt 1340 Eastlake Blvd. Washoe Valley, NV 89704

Awards Dinner - Saturday
   6pm - Cash Bar
   7pm - Dinner & Awards
    PLEASE INDICATE DINNER
           SELECTION(S)

Additional Guest Dinners

are $45 each

PLEASE INDICATE DINNER
SELECTION(S)

Mark Choices: # of Meals
Prime Rib of Beef    ______
Chicken Wellington _____
Pasta Primavera        ______

Mark Choices: # of Meals
Prime Rib of Beef    ______
Chicken Wellington _____
Pasta Primavera        ______

2 Included

Additional dinner tickets

# _______ @ $45/ea

1 Included

Additional dinner tickets

# _______@ $45/ea

2 raffle tickets included with
couple registration
1 raffle ticket included with
single registration

Drawing 4:00 to 5:00pm
Saturday
Extra raffle tickets can also

be purchased at the event

2 Included

Extra raffle tickets

# _______ @ $1/ea

1 Included

Extra raffle tickets

# _______ @ $1/ea

Optional slot tournament

MUST BE 21

$20 per person

Friday 3 - 5:00 pm

Can also sign up at show
if space is available

# ____@ $20/PERSON

Optional
18 Hole Golf Outing

Thursday June 23 @ 3:00 pm
Please Contact:
Ernie @ 530-542-0485

# _________Attending

# __________Attending

Please make checks payable to "Lake Tahoe Corvette Club"

TOTAL AMOUNT ENCLOSED→

Ck # ________________ Amount $ __________________ Confirned / / 11

RETURN