Personal Information
Name: |
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Address: |
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City: |
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State/Province: |
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Zip/Postal Code: |
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Phone
Number: |
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E-mail
Address: |
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And now, some information about your Monte Carlo
Year: |
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Model: |
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Engine: |
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Transmission: |
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Exterior
Color: |
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Interior
Color: |
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Vinyl
Top (Y/N): |
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Vinyl
Top Color: |
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Two
Tone (Y/N): |
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Top
Color: |
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Other
Options: |
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Modifications: |
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Any
other comments?: |
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Club Roster
Would
you like to be listed in the club roster? |
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Would
you like your address to be listed in the club roster? |
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Would
you like your phone number listed in the club roster? |
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In consideration of my being granted membership in
the First Generation Monte Carlo Club, I hereby release the Club, it officers,
and event organizers from liability for injury to myself or my passengers and/or
damage to my vehicles, and for injury and/or property damage to others resulting
from my participation in or travel to or from Club activities. I further
acknowledge that appropriate liability insurance is maintained on all my
vehicles which will be used in participation in Club activities.
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