
Registration Form - Printable Version
To register, please fill out this form, use your browser's Print button to print out this page, and mail it with your check for $15 per car (or if you would care to donate more than this amount, we encourage you to do so because it is such a worthy cause) payable to AONE to:
AONE, c/o Dave Pratt, 300 Westfield Street, Dedham, MA 02026-5631
Please register before June 9th!
| Name | |||
| Address | |||
| City, State, Zip | |||
| Telephone (H) | |||
| Telephone (W) | |||
Marque |
Year |
Model |
|
| Car 1 | |||
| Car 2 | |||
| Car 3 | |||
| Car 4 | |||
June 16th, 2002, and I am aware of the hazards inherent with motor vehicle events. I agree to release AONE, its Officers and Members, and the High Hopes Foundation for any liabilities for injuries, damages or loss arising from my participation in this show or travel to or from same. All cars must be driven onto the field. Signature __________________________________________________ |
|||