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Early Registration only $15.00 per Corvette Day of Show: $18.00 T-shirt, dash plaque, and door prize ticket with each entry. Add'l t-shirts and tickets will be available at the event. BBQ lunch, cold sodas and water will be available on premises at nominal cost. Lots of awards! Proceeds to benefit Orlando's Russell Home for Atypical Children. NAME: _______________________________________________________________________ ADDRESS: ____________________________________________________________________ CITY: _____________________________________ STATE: _________ ZIP: ___________ PHONE W/AREA CODE: __________________________________________________________ EMAIL ADDRESS: ______________________________________________________________ YEAR CORVETTE: ____________ BODY STYLE: _____________ COLOR: ________________ SPECIAL EDITION CORVETTE? IF SO, WHICH ONE? _________________________________ MAJOR MODIFICATIONS? ________________________________________________________ _____________________________________________________________________________ T-SHIRT SIZE: S M L XL If paying by credit card (Visa, M/C, Amex only) please complete the following or phone 407-628-8300 CREDIT CARD NUMBER: ________________________________ EXP DATE: _____ / _____ EXACT NAME ON CARD: ________________________________ AMOUNT: $ _____________ SIGNATURE: _________________________________________________________________ Gates open at 8:00 AM. Votes tallied at 2:00 PM. Awards presented around 3:00 PM. Multiple People's Choice and Sponsors' Choice Trophies to be awarded in several categories depending on event participation. Join in the fun! By execution of this form, entrants and participants release Roger's Corvette Center, its employees, volunteers, and anyone connected with the "Roger's Cruise-In" event from any and all known and unknown damages, injuries, losses, claims or judgements from any cause whatsoever that may be suffered by any entrant to his/her property. Absolutely NO alcohol or mind altering substances other than horsepower allowed on the premises. Everybody play nice! |
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Make checks payable to Roger's Corvette Center Return application with registration fee to: Roger's Corvette Center ATTN: ROGER'S CRUISE-IN 8675 N. Orlando Ave. Maitland, FL 32751 |
For more info visit our event web site at www.rogerscorvette.com/cruise-in/ or email webmaster@rogerscorvette.com or call Roger's at 407-628-8300 |