Registration Form for Early Ford V8 2018 National Tour

Hosted by Albuquerque Regional Tumbleweed V8 Club

 

Name Participant _________________________________________________

 Name Participant _________________________________________________

 Name Participant _________________________________________________

 Email Address (Phone and email required) _____________________________

 Cell Phone -  Area Code ________ Number _____________________________

 Description of Tour Car (Ex: 1939 Blue Ford Coupe)

 Insurance Company ____________________________Policy Number _________________

 Address (City and State is minimum required)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 By signing this Registration Form, I acknowledge that I am a member in good standing of the Early Ford V-8 Club of America and that the vehicle I will be driving on the Tumbleweed National Tour is covered by liability insurance in accordance with the laws of my state, and is covered by such additional coverage (collision, comprehensive, medical payments and uninsured motorist) as I have elected.  I further acknowledge and agree that the Early Ford V8 Club of America, the Tumbleweed Regional Group, and their respective officers, directors and members shall not be liable for accidental injuries to persons or property occurring in connections with the Tumbleweed National Tour.

 

___________________________________________

Signature of Member

 

Mailing Address for $45 Registration Fee:

Jeff and Beth Jackson

8322 Calle Picaflor NW

Albuquerque NM 87120

Please make check payable to the Tumbleweed Regional Group

 Your registration is complete when the Registration Fee is received.  Keep track of your registration and updates to the tour plan at:

www.AbqfordflatheadV8.com