2010 VTCI South Central Regional Convention Registration Form
Name
*
Current VTCI# (if none, enter NONE in space)
*
Spouse/Children's Names
*
Street Address/PO Box
*
City/State/Zip
*
Phone Number
*
E-Mail Address
*
Chapter Affiliation (if NONE, enter NONE in space)
*
Are You Willing to Judge
Yes
No
Is this your first VTCI Event
Yes
No
Entering A Vehicle
*
Yes
No
VEHICLE 1
*
Please Select
Yes
No
1st Entry Year
1st Entry Vin#
1st Entry Color
Model (Choose)
Hdtp/Cpe
Convertible
2 Dr Landau
4 Dr Landau
Sprt Rdstr
Trailering Vehicle
*
Yes
No
VEHICLE 2
*
Please Select
Yes
No
2nd Entry Year
2nd Entry Vin#
2nd Entry Color
Model (Choose)
Hdtp/Cpe
Convertible
2 Dr Landau
4 Dr Landau
Sprt Rdstr
Trailering Vehicle
*
Yes
No
NON-JUDGED DIVISIONS
1st Car
Senior (A)
Display (f)
2nd Car
Senior (a)
Display (f)
JUDGED DIVISION
1st Car
Senior (a,b)
Primary (b,c)
Driver (c,e)
Late Model (80-97)
Modified (f)
Touring (c,d)
2002-2005 (f,g)
2nd Car
Senior (a,b)
Primary (b,c)
Driver (c,e)
Late Model (80-97)
Modified (f)
Touring (c,d)
2002-2005 (f,g)
a) T-Birds having received 1st Place in Primary Division at an International Convention
b) Eligible for "Best of Show" award
c) 1955-1979
d) Undercarriage not judged, some modifications for safety and comfort allowed, see concours rules
e) Engine Compartment, trunk & undercarriage not judged
f) open to all years. 2002-2005 this category
g) 2002-2005, 100 Point System, no undercarriage judged, few or no modifications deductions
EVENT PAYMENT
Single Family Registration VTCI Member
$40
Single Family Registration NON VTCI Member
$75
Additional T-Birds
1 Additional - $10
Thursday Night Ice Cream Social COST: FREE
1 Person Attending
2 People Attending
3 People Attending
4 People Attending
5 People Attending
Friday NASCAR TMS Laps (40 participants required)
1 Car Entered - $45
2 Cars Entered - $90
3 Cars Entered - $135
Friday Night Drive-In Social (Marriott)
1 Person - $15
2 Persons - $30
3 Persons - $45
4 Persons - $60
Awards Banquet (Circle R Ranch - includes Transp.)
1 Person - $45
2 Persons - $90
3 Persons - $135
4 Persons - $180
Transportation to Shopping (Southlake or Grapevine)
1 Person - $5
2 Persons - $10
3 Persons - $15
4 Persons - $20
Special Edition Convention T-Shirts - Please use 1 selection per t-shirt ordered, i.e. if you are ordering 3 t-shirts, please use selection 1, 2, and 3, etc.
Convention T-Shirt Selection 1 - $15
Please Select
Small ($15)
Medium ($15)
Large ($15)
X-Large ($15)
XX-Large ($15)
Convention T-Shirt Selection 2 - $15
Please Select
Small ($15)
Medium ($15)
Large ($15)
X-Large ($15)
XX-Large ($15)
Convention T-Shirt Selection 3 - $15
Please Select
Small ($15)
Medium ($15)
Large ($15)
X-Large ($15)
XX-Large ($15)
Online Registration Fee
*
$5
Total Amount Due From Above
*
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USD
Donation
Registration deadline May 10, 2010. Cancellation deadline May 10, 2010. Cancellation Fee: $20.
Hotel Reservations: Marriott - Tel: 866-348-3984. Rate Code: Vintage Thunderbird Club
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