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Saturday, October 4, 2008 ENTRY FORM
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C o n c o u r s V e h i c l e A p p l i c a t i o n
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For consideration, mail to:
The Grand Concours d'Elegance
2563 Eagle Ridge Lane
Lenoir, NC 28645
828-758-8988
FAX 828-757-3224
Email: CAWS52803@AOL.COM
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Please print or type all information clearly!!!
Name (First Badge Name)______________________________________________________________
Name (Second Badge Name)____________________________________________________________
Address_____________________________________________________________________________
Phone Home ________________________ Cell ____________________________________________
Email ________________________________
1st Vehicle Year ______________ Make _______________________ Model _________________ How long owned _________________________ Unique features _______________________________
Original Yes/No_____ Restoration date ____________ By whom ____________________________
When ________________ Modifications __________________________________________________
History ______________________________________________________________________________
Awards ______________________________________________________________________________
Exterior color _________________________ Interior color ___________________________________
License No. and State ____________________________________ No. Cylinders _________________
2nd Vehicle Year ______________ Make _______________________ Model _________________ How long owned _________________________ Unique features _______________________________
Original Yes/No_____ Restoration date ____________ By whom ____________________________
When ________________ Modifications __________________________________________________
History ______________________________________________________________________________
Awards ______________________________________________________________________________
Exterior color _________________________ Interior color ___________________________________
License No. and State ____________________________________ No. Cylinders _________________
Insurance Company ______________________________________ Insurance Policy_______________ Number________________________________ Expiration Date _______________________________
Concours d'Elegance parking. All vehicles must be pre-registered.
( ) I will need a parking space for a motor home - No utilities available.
( ) I will need a parking space for a trailer.
( ) I will need a parking pass for a private vehicle.
FINAL PARKING INFORMATION WILL BE SENT AT A LATER DATE
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SIGN RELEASE OF LIABILITY
Whereas, the undersigned, desiring to enter and participate in the above motorcar event and competition to be held by The Grand Concours d'Elegance on October 3 - 5, 2008, does hereby tender his/her application to participate. Now therefore, in consideration of the acceptance of this The Grand Concours d'Elegance application, the undersigned to participate in said event, the undersigned does hereby:
1. Release The Grand Concours d'Elegance and it's officials and employees from any and all liability arising out of said event. I am aware of the hazards associated with these events and specifically realize and do indemnify the organizers, supporting sponsors, site owners (not limited to, Grandover Resort and unnamed wineries, collectively and separately from any and all liability from personal injury or property damage incurred by me or my guests while participating in this event
2. Authorize The Grand Concours d'Elegance to use the names of entrants, their spouses and guests and photographs of them and their entry vehicle for publicity, advertising and other commercial purposes. This includes newspapers, magazines, Internet and television. This can occur before, during and after the event. I do hereby relinquish any rights whatsoever to any photos or likeness taken in conjunction with the event and give permission to publish, sell or otherwise dispose of said images. I understand that all publicity and advertising rights are reserved by The Grand Concours d'Elegance or it assigns. 3. This Event is limited to automobiles and motorcycles only. All commercial displays will be separate. Proof of insurance is required to participate in any event. I have read, understand and agree to the terms of this release. APPLICATION ENTERED SUBJECT TO ABOVE TERMS AND CONDITIONS
Signature ____________________________________________________ Date ___________________
Please return this vehicle entry form promptly.
Use separate sheet if registering more than two cars.
Please submit photographs of vehicles. They will be returned, if SASE included.
Would you be willing to be interviewed by the press about your car? Yes / No
Would you be willing to have a story written about your car? Yes / No
Would you be willing to have a story written about you? Yes / No
Would you allow a knowledgeable automotive journalist to drive your car as part of a story (in your presence, of course)? Yes / No
Exhibitor Fees include: Entrance for your registered car and occupant $20.
2008 Collector's Event Program (one per vehicle)
Name:................................................................Vehicle(s).........................X $25 _______________
Early registration - by Sept 1..........X $20 _______________
Spectator........................................X $10 _______________
Friday Golf/Spa/Tennis __On your own________ _______________
Friday Reception ____$20 ea____________ _______________
Saturday Night Gala: ____$50 ea___________ _______________
Sunday Winery Tour __Included___________ _______________
Total _______________
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Address:...................................................................................................
City/State/ZIP............................................................................................
Phone No........................................ Email:.............................................
Vehicle Information - Year..................... Make:...................................... Model: ............................
Year..................... Make:....................................... Model: ..........................
If paying by check: Check number #:______________ Amount $ _____________
Payable and mail to: The Grand Concours d'Elegance; 2563 Eagle Ridge Lane; Lenoir, NC 28645 For those wishing to stay overnight, please mention "Concours Event" and call
Grandover Resort and Conference Center
One Thousand Club Road
Greensboro, NC 27407
Phone 336-294-1800
Toll free 1-800-GRAND01
Reservations MUST be made by September 7, 2008, to qualify for a special rate!
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