Attach your check or money order and return to:
NABSCMC Registration
180 County Road 230
Florence, AL  35633

NAME:________________________________________________________________________________

ADDRESS:_____________________________________________________________________________

CITY:_______________________ STATE:_______ ZIP:____________ PHONE:_________________

MILES FROM YOUR HOUSE TO SHOW:_____________________________
NAME AND ADDRESS OF LOCAL CLUB:______________________________________________
_____________________________________________________________________________

1st CAR MAKE:________________________________________________________
MODEL:__________________________________ YEAR:______________________
FEE $20.00 for the first registered before Oct 10, $15.00 for each additional motorcar. $25.00 day of show per car.

2nd CAR MAKE:________________________________________________________
MODEL:__________________________________ YEAR:______________________

3rd CAR MAKE:________________________________________________________
MODEL:__________________________________ YEAR:______________________
(For More Than 3 Cars, Attach a Separate Sheet)

TOTAL FEES ENCLOSED: $__________________________   (Non-refundable after October 1, 2003)
T-SHIRTS AVAILABLE AT SHOW

In consideration of the right and priviledge to enter and participate in this event, I agree to release and hold harmless the Northwest Alabama British Sports Car and Motoring Club, its officers, members, SunTrust Bank, Alabama, and the City of Florence from any and all liabilities for injuries, damages or loss arising from my entry, attendance or participation, and traveling to and from this event.  I also certify that the car(s) offered for registration are covered by liability insurance at least equal to the minimum requirement of the state in which the vehicle(s) are licensed and/or registered.

Signed:________________________________________________ Date:______________________