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)
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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