2008 Hobo And Winnipesaukee Railroad Trackcar Meet -- REGISTRATION
FORM
NAME: __________________________SPOUSE OR GUEST NAME:______________________
YOUR EMAIL ADDRESS:
_________________________________________________________
ADULT- GUEST (S) NAME (S):
____________________________________________________
CHILDREN NAMES:
_____________________________________________________________
EMAIL ADDRESS:_______________________________________________________________
ADDRESS:
_____________________________________________________________________
CITY:___________________________
STATE:_________ ZIP
CODE:_________________
DAY PHONE: ____________________
EVENING PHONE: _________________
DESCRIPTION OF TRACK CAR YOU ARE BRINGING:
MANUFACTURER: _____________________
MODEL NAME/NUMBER:___________
NUMBER OF CYLINDERS: __________ DATE OF MANUFACTURE:__________________
ORIGINAL RAILROAD OWNER:________________________ORIGINAL NUMBER:
_______
IS YOUR CAR EQUIPPED WITH A FIRST AID KIT?
ARE YOU A PARAMEDIC OR HAVE SIMILAR TRAINING
DO YOU HAVE A TWO-WAY RADIO WITH 160.470, 161.550.
IS YOUR CAR EQUIPPED WITH A TOW BAR?
ARE YOU BRINGING ITEMS FOR THE FRIDAY NIGHT SWAP MEET?
ARE YOU OPERATING SATURDAY -
ARE YOU OPERATING SUNDAY - TILTON TO
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YES___ NO____ YES___ NO____ |
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REGISTRATION FEE PER CAR, OPERATOR, AND 1 CREW MEMBER & 2 COFFEE MUGS
PLEASE MAKE CHECK PAYABLE TO PAUL YORKIS AND MAIL TO:
PAUL YORKIS |
$75.00 $85.00 |
$__________ |