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Falcon CLUB OF AMERICA
PRESENTS THE   12TH ANNUAL
REGIONAL FALCON MEET

August 15 & 16, 2008 at The Publick House
On The Common, Rt. 131, Sturbridge, MA
Meet and Banquet Registration Form

Name: _______________________________Spouse/Guest: _______________________

Address: _________________________________________   City:  ___________________

   State: _________________ Zip: ________________   Phone: (_____)_______________

Falcon Registration Information

Vehicle Year: _________ Model:  _________________ Body Style: ___________

Color: ________________ Engine: __________ Stock: ______  Modified ______

Falcon Registration Fee: $20.00                                 1 @          $____________
or Special Daily Driver Class: $10.00                         1 @         $ ____________
Banquet: Saturday August 16, 2007 at 6:00 pm Adults:   $35.00                         $___________
              Turkey Dinner   #_______  Yankee Pot Roast #_______
                            Children's Meal $20.00: #_______      $_____________

Total Falcon Registration & Banquet Amount:                    $ ___________

For Hotel registrations call the Publick House at 508-347-7323
Room rates are $84.00 plus tax per night guaranteed until July 16, 2008
You must mention Falcon Club Show when making your reservations.

Send this form and remittance payable to:  Northeast Chapter  FCA,
c/o Cristine Bowes, 245 South Main St., Coventry, RI  02816  (401) 823-1059
For more information contact Rick @ falconsprint@aol.com or Cris at cbricris@aol.com

WAIVER OF LIABILITY

I agree not to hold the Northeast Chapter, the Falcon Club of America, or the Publick House Hotel responsible for losses, damages, or injuries while at this Convention.  


_____________________          ________________________
Print Name                                    Sign Name


For more information please visit our website - www.northeastfalconchapter.com