THE 2010 DON FROLICH MEMORIAL NATIONAL MEET

AT PORTAL PARK IN CUPERTINO, SUNDAY JULY 25TH, 2010

HOSTED BY THE NORTHERN CALIFORNIA REGION INC., OF

THE CADILLAC & LASALLE CLUB, INC.

 

PLEASE FILL OUT THIS ENTIRE FORM AND SEND IT WITH YOUR CHECK MADE OUT TO NORCAL C&LC TO----FRED BAUSCH, 806 EL CAMINO REAL, SAN CARLOS 94070-4093

 

CHECKS AND REGISTRATION MUST BE RECEIVED BEFORE JULY 19th.

                                                                                                                                                                                   

CLASSES (Cad and LaSalle only)….Please indicate yours on the entry form below

(A) 02-24 CAD   (F) 48-49 CAD      (L) 61-64 CAD   (Q) 1981 TO CURRENT CAD

(B) 25-33 CAD   (G) 50-53 CAD** (M) 65-70 CAD (R) V12 & V16, ALL YEARS

(C) 34-40 CAD   (H) 54-56 CAD** (N) 71-80 CAD (S) LA SALLE 27-33

(D) 1941 CAD    (J) 57-58 CAD**   (O) ELDO 53-66 (T) LA SALLE 34-40

(E) 42-47 CAD   (K) 59-60 CAD* (P) ELDO 67-80 **EXCEPT ELDORADO

------------------------------------------------------------------------------------------------------------------------------------------------------------------

PLEASE LIST YOUR ENTRY(s) (“MAKE” means Cadillac, LaSalle, or other Marque)

MAKE                        YEAR            CLASS           SERIES                     BODY STYLE                     

                                                                                                                                                                       

                                                                                                                                                                      

____________                                    ______ ______ ________________________

OTHER MARQUES YEAR MODEL BODY STYLE___________

____________ ______     _________________ ________________________ ____________ ______ _________________ ________________________

THE FOLLOWING RELEASE MUST BE SIGNED!­­­­­­__________________________

            Whereas the undersigned, desiring to enter and participate in the 2010 NorCal Region, C&LC Inc. National meet does hereby tender his/her application to participate. Now therefore, in consideration of acceptance by the Club of the undersigned’s application to participate in said event, the undersigned does hereby:

RELEASE THE CITY OF CUPERTINO, ITS OFFICERS AND AGENTS, THE CADILLAC AND LA SALLE CLUB, INC. AND ITS OFFICERS AND AGENTS, AND THE NORTHERN CALIFORNIA REGION OF THE C&LC AND ITS OFFICERS AND AGENTS, FROM ANY LIABILITY ARISING FROM SAID EVENT; AND 2, RELEASE ALL OTHER MEMBERS, PARTICIPANTS, AND OFFICIALS FROM ANY AND ALL LIABILITY ARISING FROM SAID EVENT.

THIS APPLICATION IS SUBMITTED IN ACCEPTANCE OF THE ABOVE TERMS AND CONDITIONS

 

SIGNATURE(S)                   _______________________OR______________________________________

OWNER/MEMBER DATE EXHIBITOR DATE

BAR B QUE AND REGISTRATION RESERVATION

 

ADULTS---CHICKEN x #              ITALIAN SAUSAGE x #                @$16.00 EA=                                   

            BARBEQUED TRI TIPS 12 OZ --------------- x #                @ $18.00 EA=                      

 

CHILDREN (under 10 years) HOT DOG & trimmings x#__________ @$8.00 EA= ___________

 

REGISTRATION FEE, including any number of cars will entitle the registrant to one dash plaque per vehicle. THIS REGISTRATION FEE MUST BE PAID BY EVERY REGISTRANT!!! $10.00

 

MAKE YOUR CHECK OUT TO NORCAL C&LC FOR THE AMOUNT SHOWN- total- $                 

 

PLEASE PRINT YOUR NAME                                                                Phone (____)                         

CITY - _______________________________

 

PLEASE INDICATE YOUR CLUB AFFILIATION- - C&LC, ___ CHVA, ___CCCA, ___HUDSON, __­_ IMPERIAL, ___ LINCOLN, ___OLDSMOBILE, ___PACKARD, ___ PIERCE ARROW, ____STUDEBAKER, ___ZEPHYR, ____