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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
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