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: _____________________________
(Needed to assist us in parking all club members together)
□ convertible □ coupe
Car Year _____ Model □ roadster □ Z Class _________ 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
1 Included
Additional T- shirts
# ______ @ $17/ea
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
6:15pm - 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 June 22 3:00 - 5:00 pm
Can also sign up at show
if space is available
Optional
18 Hole Golf Outing
Thursday June 21 @ 1:00 pm
Please Contact: Ernie @ 530-542-0485
Please make checks payable to "Lake Tahoe Corvette Club"
TOTAL AMOUNT ENCLOSED→
Ck # ________________ Amount $ __________________ Confirned / / 11
Copyright 2010 Lake Tahoe Corvette Club
Contact Us: ltcc@laketahoecorvetteclub.org
Optional Escorted Run to Virginia City NV
Friday June 22 @ 11:00 am
Please contact "Charlie" at
laketahoecorvetteclub@hotmail.com
Optional Video Simulation Corvette Racing
Optional Special Raffle - Bondurant "Z06 Experience"
Tickets $5 ea or 5 for $20
Raffle tickets may be purchased at the event
#______ @ $5 each or #_____sets of 5 tickets @$20
#______ @ $5 Each or
#____ Sets of 5 Tickets @ $20
