RodandPiston.com: 7th Annual RodandPiston.com Super Cruise

RodandPiston 7th Annual Super Cruise Online Pre-Registration
Payment Accepted by Paypal Only.

RodandPiston's 7th Annual Super Cruise
Sunday - July 12, 2009

Fisherman’s Park
River Road
North Tonawanda, NY
(1/2 mile south of Gratwick Park)

No Awards, just a day of fun with your friends enjoying the park and each others cars!

Pre-registration $5 through July 10th. Day of show registraton $5. All pre-registered participants are entered into a prize pack drawing. First 200 registered participants recieve a Super Cruise dash plaque.

Personal Information
First Name(s):

Last Name:

Phone:

Address:

City:

State:

Zip:

E-mail:

Vehicle Information
Make:

Model:

Year:

Club Affiliation
(If any, please do not abbreviate)

Will you be coming as a club or large group?
Yes No

If Yes, How many people in your group?

Pre-Order Event Shirts & Sweaters, pickup at show July 12th

T-Shirts:	Qty:	Price:	Size:	Total:
Click To Enlarge		$10/each	Small	$
		$10/each	Medium	$
		$10/each	Large	$
		$12/each	X-Large	$
		$14/each	XX-Large	$
		$15/each	3X-Large	$

		Registration		$
		Total		$

In consideration of the Acceptance of the right to participate entrants, participants, and spectators, by execution of this entry form release and discharge the City of North Tonawanda & RodandPiston.com, owners directors, employees, representatives, and anyone else connected with the management of this car show from any and all known and unknown damages, injuries or losses. Further, each entrant expressly agrees to indemnify all the forgoing resulting from the conduct of entrants or any participant assisting or cooperation with entrant and under the direction or control of the entrant. This shall be binding with the undersigned, his distributes, executors, administrators, legal representatives, successors and assigns. Submitting this form with the Signature box completed constitutes a legal signature and acceptance of these terms.

Digital Signature:

Date: