NEC-ACBS Boat Show Registration Form
Transcription
NEC-ACBS Boat Show Registration Form
NEC-ACBS Boat Show Registration Form FOR OFFICE USE ONLY Cash___________________ 42nd Annual Lake Winnipesaukee NEC-ACBS Boat Show July 25, 2015 - 9AM - 2 PM Charge_________________ PRE-REGISTRATION IS RECOMMENDED DATE__________________ Are You an ACBS Member Yes No Check__________________ Years attended show ___________ First Time at show ACBS# _______________________ Chapter Affiliation___________________________________________________________ BOAT OWNER’S NAME ____________________________________________________________________________________ STREET ________________________________________ CITY _____________________ STATE _______ZIP______________ PHONE______________________________________EMAIL ______________________________________________________ CREW (List additional crew for name badges) ___________________________________________________________________ BOAT NAME _________________________________________________ YEAR_________LENGTH______________________ BOAT BUILDER_______________________________________MODEL_____________________________________________ ENGINE _________________________________________ CYL. _________ HP ___________ENGINE YEAR______________ JUDGED BOAT JUDGING CLASS_______________CATEGORY: Preserved_____ Late Contemporary_____ Wood NON-JUDGED BOAT: (Check one) ______In Water Restored_____ Fiberglass Early Contemporary_____ Metal ______Land Display (limited space available) A $20 late fee will be assessed for any boat(s) whose registration is received after July 1. July 20th is the pre-registration cut off date for judged boats. Same day registration is only possible if there is room for your boat(s). Member Fee EVENT Non- Member Fee Number Attending Late Fee for any registration received after July 1, 2015 TOTAL Judged Boat $50 $60 $ 20 $ Non-Judged Boat $25 $35 $ 20 $ Friday Cocktail Reception $15 $20 $ Saturday Awards & BBQ $45 $50 $ Saturday Awards & BBQ Children 12 and under $10 $15 $ TOTAL $ Please sign: INSURANCE AND LIABILITY WAIVER I certify that I am an entrant/exhibitor in the 42nd Annual Lake Winnipesaukee Boat Show at Meredith, NH taking place on July 25, 2015 sponsored by the New England Chapter of the Antique & Classic Boat Society (ACBS). Further, I certify that I have effective insurance to cover any damage to my boat and to cover my liability for any damages to others, or their property, arising from any use of my boat during this event. I agree to hold harmless the ACBS, the officers and volunteers of the New England Chapter of the ACBS, and all other sponsors of this event, their employees, agents, and volunteer assistants for any injury or loss resulted, directly or indirectly, and from any and all actions, claims, liabilities, and assertions of liability which in any manner arise from any and all activities connected directly or proximately with the Boat Show listed above. Signature _________________________________________________Date _____________________ Send registration form and check payable to: NEC-ACBS, PO Box 1466, Wolfeboro, NH 03894 Your Registration Form and check must be received no later than July 1, 2015