NJ
Caravan Participant Registration Form
NJ Caravan Activities June 24-26, 2003/NCM Activities
June 26-30, 2003
Please fill in the fields entirely and neatly. 1 form for each participant
(2 PER CAR)
NCM 50th Anniversary Caravan Registration #________________*
(* MUST be obtained from the NCM prior to acceptance of this registration
- see www.corvettemuseum.com/caravan/registration/registration.shtml)
PRE-REGISTRATION IS REQUIRED FOR PARTICIPATION IN THE NJ CARAVAN ACTIVITIES.
SOME ACTIVITIES ARE LIMITED IN SIZE/TIME. PLEASE REGISTER AS SOON AS POSSIBLE.
ALL REGISTRATIONS MUST BE RECEIVED PRIOR TO June1st, 2003
in order to prepare your caravan package.
Packages will not be prepared for late registrations.
*** All Payments are due at this time, Please Remit
with Form ***
The
following information is very important. We will be creating individualized
trip booklets for each participant. The individual trip booklets will
include tickets/vouchers for all items/functions purchased.
Last Name |
First Name |
Address |
Home Tel. # |
E-mail Address |
Club Affiliation |
Car
Info: |
Year |
Color |
License Plate # |
State |
Will you require any special services or assistance? (If so, please specify)
Where
do you plan to join the NJ Caravan? |
Somerset,
NJ_____ |
Carlisle,
PA_____ |
Harrisonburg,
VA_____ |
Bristol, TN_____ |
Will there be a second person in this Corvette? Yes_____ No _____
Are you the 2nd person in this Corvette Yes______? No______?
If yes, please fill out a second registration. form and attach both
forms.
Last Name of 2nd Person__________________________ First Name _________________________________
If there will be a seat open in this car will you accept a member from
another club or media representative? ________
Do you have a CB radio or Family radio for use during the caravan? CB?_______
Family?_______
At this time, please select the NJ Caravan activities you wish to participate
in by placing a "x"or
check in the column where applicable.
Somerset, NJ 6/24/03
Signing
of the Warnock Chevrolet Sponsorship Banner |
________ |
Be
part of the departure group: |
________ |
Carlisle, PA (Carlisle Fairgrounds) 6/24/03
Join
with the New England Caravan and the Eastern, PA Caravan for lunch
and participant meeting. |
|
Depart
from Carlisle Fairgrounds as part of a larger caravan. |
________ |
Harrisonburg, VA 6/24/03
Barbecue
style dinner. |
Cost:
TBD $________ |
Number
of Participants for Barbecue? ________ |
|
Continental
breakfast.
|
Cost: TBD $_______
|
Number
of Participants for Breakfast?________ |
|
Bristol, TN (Bristol Motor Speedway) 6/25/03
PRE-REGISTRATION REQUIRED DUE TO LIMITED AVAILABILITY. NOTE: ALL funds
generated that exceed BMS costs will be donated to the "Speedway
Children Charity". We will be allowed use of the facility until dark
TRACK
LAPS 5 LAPS BEHIND
A PACE CAR ON THE NASCAR TRACK |
Number
of Track Lap sessions requested: ___ (Max. 2) Cost
$ 20.00 per session |
$ _______ |
DRAG STRIP RUNS Test
your skill at the drag strip. All lighting and timing systems will be
operational. NOTE: We will award a Franklin Mint car to the driver with
the three most consistent runs
Number
of drag strip runs requested: ___ (Max.5)
Cost $ 10.00 per run |
$ _______ |
WINNER
CIRCLE PHOTOS Have
a picture(s) taken of you and your car in the winner circle by a professional
photographer. Picture(s) will be mailed to you Cost
$ 15.00/Photo |
$
_______ |
BARBECUE
DINNER AT THE TRACK Cost
FREE Number Attending? ________
|
No
Charge |
Sponsored by
a local Chevrolet Dealership
SHOPPING: BMS
track busses will be providing transportation to downtown Bristol
shopping locations. Sponsorship by the BMS and Bristol Chamber of
Commerce Number of expected to attend ? |
_______ |
Breakfast at the Track |
Sponsored by:__________________________ |
Cost FREE |
Number Attending _______ |
NJ CARAVAN MERCHANDISE AVAILABLE
All Merchandise will have the NJ logo: "Follow me to Bowling Green
2003"
POLO
SHIRT with "Follow me to Bowling Green" Logo Embroidered
on the front |
Cost
$ 35.00 Ea. S-XL |
Qty_________ |
Size________ |
$__________ |
Cost
$ 38.00 Ea. XXL |
Qty_________ |
Size________ |
$__________ |
NJ
CARAVAN STATIC CLING for inside of rear window (9" High
X 15" Wide, white lettering) (will fit in convertible rear
window) |
Cost
$ 15.00 Ea. |
Qty_________ |
|
$__________ |
T-SHIRTS
Ash gray colored Hanes Beefy Tees with the "Follow Me to Bowling
Green" logo on the back and "2003 CARAVAN" on the
front |
Cost
$ 16.00 Ea. sizes S-XL |
Qty_________ |
Size__________ |
$__________ |
Cost
$ 18.00 Ea. sizes XXL-XXXL |
Qty_________ |
Size__________ |
$__________ |
NCM CARAVAN MERCHANDISE AVAILABLE
STATIC
CLING for inside rear window aproximately 7" Diameter
Cost $10 Ea. |
Qty_______ |
|
$_________ |
NCM CARAVAN
FLAG $15 Ea. |
Qty_______ |
|
$_________ |
|
|
|
|
Shipping and Handling |
|
|
$ 5.00 |
Street _____________________________ |
City ___________________State_________ |
Zip______ |
Total Amount Enclosed. |
|
|
$_________ |
***
All Payments are Due at this time, Please Remit with Form ***
Make
Check to:
Mail Form and Check to:
|
NJ Corvette
Caravan
Grace Conrad
1081 Penn Estates,
East Stroudsburg, Pa, 18301
|
Any Additional Information or comment you would like to add:
Please visit the Chevrolet website to register for the Chevrolet events.
Please visit the National Corvette Museum's website to register for the
50th Anniversary National Corvette Caravan and to learn about the activities
they are offering upon your arrival in Bowling Green.
|