Buggy Blast VI Registration

                                                                                                                                                

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Complete and submit this online form, then send your payment before May 16, 2008 for early registration benefits:
            $20 Registration ($20 at show)
              1 Show T-Shirt ($10 at show)

             

    

    

*NOTE* The form below is for Registration ONLY. Please mail check to address below.

 

     NAME:

   E-MAIL:

ADDRESS:

      CITY:

    STATE:   Zip Code:

Club Affiliation

What are you entering? Check all that apply: click here for Class Definitions

A-Authentic Manx                  B-Manx Type Pan Early             C-Manx Type Pan Late 

D-Manx Type Tube chassis  E-Long Wheelbase Fiberglass Buggy 

F- Special Interest                G-Fiberglass Off Road               H-Rail-Street     

J-Rail Off-Road                     K-Type 1 VW                             L-Type 2 VW   

M-Ghia, T3, T4, Thing            N- Radical Custom                    P-Water Cooled

Entry Fee is $20 per class entered (make checks payable to Texas Manx Club)                                (Pre-Registration includes one (1) Buggy Blast V Show t-shirt. To qualify, Pre-Registration form MUST be postmarked no later than midnight May 16, 2006.  (After May 16, entry Fee is $20 per class entered and does not include a show shirt.) 

 Please select one size only.                                                                                   CHILD'S SMALL   SMALL   MEDIUM   LARGE    X-LARGE   XX-LARGE

 

Additional shirts may be ordered for $10 each. Click here for details and additional shirt order form.

Show Waiver: Please Read and Sign: Submitting this form constitutes acceptance of the Show Waiver. 

In consideration of acceptance as a participant in the Texas Manx Club’s Buggy Blast 5, The Streets of Salado show and cruise(s), I do hereby release Texas Manx Club and all others, personally and collectively, involved in the presentation of the event, including the City of Salado, Texas, the State of Texas and its employees or representatives of any of the above from any known or unknown damages, losses, injuries, judgments or claims from any causes suffered to the entrant, entrant's family members, guests or their property. Permission is hereby granted to use any photos and information pertaining to my entry in advertising, publicity releases and magazine articles. I understand photos of my entry or of my person may by offered for sale in/on electronic or printed media.

Submitting this form constitutes acceptance of the Show Waiver. 

                                         

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Registration

Shirt Order

Lodging

Map to Blast

Blast Schedule

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Contact Us

 

 

 

Please mail your check to:      Texas Manx Club                        PO Box 118275                       Carrollton, TX 75011-8275 buggyblast6-at-texasmanxclub.com