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.

NCM Registration
THANK YOU From all of the NJ Caravan Committee
www.corvette50th.com