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PARTICIPANT INFORMATION
NAME:
___________________________________________________________________________
ADDRESS:
___________________________________________________________________________
CITY:
_____________________________ STATE: _______________ ZIP:
______________
PHONE: (______) _______________ EMAIL:
______________________________________
CLUB AFFILIATION:
___________________________________________________________________________
T-SHIRT
SIZE: S_____ M_____ L_____ XL_____ XXL_____ (Only one (1) free for each
Pre-Registered Car & Vendor)
VW SHOW CAR
INFORMATION
VW
MODEL: __________________________________________ YEAR:
_______________
(Enclose $15 on or BEFORE May 1st or Enclose $20 AFTER May
1st)
CATEGORTY CHOICE:____________________________(See Information Sheet
at ozarkvw.com for Categories) Your
choice is Subject to Approval by Ozark Volkswagen Festival
Coordinator.
VENDOR INFORMATION:
TYPE: USED PARTS_______ NEW PARTS_______ DEALER______
PROMOTIONAL_____
OTHER____________________________________________________________________
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I hereby release the Ozark Volkswagen Club
of Mountain View, Taylor's Sons of the Ozarks Music Theatre, City of Mountain
View and any volunteers, participants or others involved in the 6th Annual Ozark
Volkswagen Festival event from any and all liability before, during and after
the 6th Annual Ozark Volkswagen Festival 2008 event.
Signed:____________________________________________________
Date:_____________________
Please make checks payable to the Ozark
Volkswagen Club and mail with this "Signed Form" to the Ozark Volkswagen
Club, C/O Steve Hickman, 1333 Hub Willis Road, Mountain View, Arkansas
72560
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