Print the form, fill-in the requested information and mail it with your $15.00 check payable to Radcliffe Motorcar Company, or include your Visa or MasterCard information and FAX the form to 410-517-1684.
Or simply call us at 410-517-1681 and register over the phone.
Due to the limited parking/display space, we ask you to pre-register your vehicle to guarantee a space.
This year we are asking you for a $15.00 contribution to help defray the cost of putting on an event such as this.You may include your credit card information on this form and fax it to: (410) 517- 1684, or telephone Richard Garre at (410) 517-1681.
Please print or type this information:
Name:
_____________________________________________
Address:
_____________________________________________
City, State Zip
_____________________________________________
Contact Number(s):
( ________ ) ___________ - _____________________
( ________ ) ___________ - _____________________
e-M@il:
____________________________________________
Vehicle Make Model & Year
___________________________________
License Tag:
Interesting information to share about your car.
_____________________________________________
_____________________________________________
Credit Card(we can accept Visa and Master Card)
Number: ___________________________
Expiration:Code:
The Fine Print: By registering for this event you agree that neither Tom Yang, TomYang.net nor the owners, employees or staff of Radcliffe Motorcar Company shall be held responsible or liable to you, your family, heirs or assigns for any loss or damage to your vehicle, yourself, your driver, your passenger(s) or participants in this event.
