Field of Dreams - Registration Form FOR OFFICE USE ONLY Cash___________________ Antique and Classic Boats for Sale Charge_________________ 42nd Annual Lake Winnipesaukee NEC-ACBS Boat Show July 25, 2015 - 9AM - 2 PM Check__________________ DATE__________________ PRE-REGISTRATION IS RECOMMENDED Are You an ACBS Member Yes No Years attended show ___________ First Time at show ACBS# _______________________ Chapter Affiliation___________________________________________________________ BOAT OWNER’S NAME _____________________________________________________________________________ STREET __________________________________ CITY ____________________ STATE _______ZIP______________ PHONE _______________________________________ EMAIL____________________________________________ CREW (List additional crew for name badges) _________________________________________________________ BOAT NAME _________________________________________ YEAR_________LENGTH______________________ BOAT BUILDER_________________________________MODEL____________________________________________ ENGINE __________________________________ CYL. _________ HP ___________ENGINE YEAR______________ Antique and Classic Boats will be displayed on land in Hesky Park. Each registration includes space for one boat and trailer, one table, and chairs. No tents allowed in Hesky Park. Member Fee EVENT Non- Member Fee Number Attending Late Fee for any registration received after July 1, 2015 $ 20 TOTAL Field of Dreams Antique/Classic Boat $100 $110 Friday Cocktail Reception $15 $20 $ Saturday Awards & BBQ $45 $50 $ Saturday Awards & BBQ Children 12 and under $10 $15 TOTAL $ $ $ Please sign: INSURANCE AND LIABILITY WAIVER I certify that I am an entrant/exhibitor in the 42ndt Annual Lake Winnipesaukee Boat Show at Meredith, NH taking place on July 25, 2015 sponsored by the New England Chapter of the Antique & Classic Boat Society (ACBS). Further, I certify that I have effective insurance to cover any damage to my boat and to cover my liability for any damages to others, or their property, arising from any use of my boat during this event. I agree to hold harmless the ACBS, the officers and volunteers of the New England Chapter of the ACBS, and all other sponsors of this event, their employees, agents, and volunteer assistants for any injury or loss resulted, directly or indirectly, and from any and all actions, claims, liabilities, and assertions of liability which in any manner arise from any and all activities connected directly or proximately with the Boat Show listed above. Signature _________________________________________________Date _____________________ Send registration form and check payable to: NEC-ACBS, PO Box 1466, Wolfeboro, NH 03894 Space is limited - Same day registration is only possible if there is room for your boat. Pre-registration is recommended.
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