S Car Gathering Registrion Form

S Car Gathering Registration Form

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Please fill it out and mail it to the address below no later than August 20th.

NAME(S) _________________________________________________________________

NUMBER & STREET _________________________________________________________________

TOWN/ CITY _________________________________________________________________

STATE/ PROVINCE ______________________

ZIP/ POSTAL CODE ____________ - ________

TOTAL NUMBER IN PARTY ______________________

TELEPHONE NUMBERS: EVENING ____________________________

DAYTIME ____________________________

PLANNED DAY/TIME OF ARRIVAL ___________________________________

DEPARTURE ___________________________________

PLANNED ARRIVAL METHOD _________________________________________________________________

IF YOU ARE ARRIVING BY AUTOMOBILE, WILL IT BE A VINTAGE HONDA? ________________________

IF SO, YEAR ____________ MODEL DESIGNATION __________________ BODY STYLE _________________

PLEASE NOTE NEW THREE-TIERED FEE STRUCTURE:
Tier 1) ATTENDEES THAT BRING A VINTAGE (PRE-1973) HONDA AUTO ARE FREE!
Tier 2) HONDA SPORTS REGISTRY MEMBERS WITHOUT A VINTAGE HONDA AUTO ARE $10.00 EACH.
Tier 3) NON-MEMBERS ARRIVING WITHOUT A VINTAGE HONDA AUTO ARE $15.00 EACH.
NUMBER OF PEOPLE ATTENDING GATHERING (Tier 1)______@ FREE! EACH = _____________
NUMBER OF PEOPLE ATTENDING GATHERING (Tier 2)______@ $10.00 EACH = _____________
NUMBER OF PEOPLE ATTENDING GATHERING (Tier 3)______@ $15.00 EACH = _____________
Mail to:
HONDA SPORTS REGISTRY
794 ROUTE 17M
MIDDLETOWN, NEW YORK 10940
and don't forget to include your payment if necessary.

Back

NAME(S)	_________________________________________________________________
NUMBER & STREET	_________________________________________________________________
TOWN/ CITY	_________________________________________________________________
STATE/ PROVINCE	______________________
ZIP/ POSTAL CODE	____________ - ________
TOTAL NUMBER IN PARTY	______________________
TELEPHONE NUMBERS: EVENING	____________________________
DAYTIME	____________________________
PLANNED DAY/TIME OF ARRIVAL	___________________________________
DEPARTURE	___________________________________
PLANNED ARRIVAL METHOD	_________________________________________________________________
IF YOU ARE ARRIVING BY AUTOMOBILE, WILL IT BE A VINTAGE HONDA? ________________________
IF SO, YEAR ____________ MODEL DESIGNATION __________________ BODY STYLE _________________
PLEASE NOTE NEW THREE-TIERED FEE STRUCTURE: Tier 1) ATTENDEES THAT BRING A VINTAGE (PRE-1973) HONDA AUTO ARE FREE! Tier 2) HONDA SPORTS REGISTRY MEMBERS WITHOUT A VINTAGE HONDA AUTO ARE $10.00 EACH. Tier 3) NON-MEMBERS ARRIVING WITHOUT A VINTAGE HONDA AUTO ARE $15.00 EACH. NUMBER OF PEOPLE ATTENDING GATHERING (Tier 1)______@ FREE! EACH = _____________ NUMBER OF PEOPLE ATTENDING GATHERING (Tier 2)______@ $10.00 EACH = _____________ NUMBER OF PEOPLE ATTENDING GATHERING (Tier 3)______@ $15.00 EACH = _____________ Mail to: HONDA SPORTS REGISTRY 794 ROUTE 17M MIDDLETOWN, NEW YORK 10940 and don't forget to include your payment if necessary.