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Willamette Valley Corvette Association and Half Penny Bar and Grill 2nd Annual Corvette Cruise-In

July 27th, 8am 4pm Half Penny Bar and Grill 3743 Commercial St SE, Salem
Registration fee - $10 Raffles*, 50/50, Breakfast and BBQ Lunch Available for Purchase, & More Live Music by The Boomers *Grand Prize 1 Week at the Maalaea Surf Resort in Kihei, Maui, Hawaii The first 100 participants will receive a goody bag Wanted all Corvettes To pre-register email :

Willamette Valley Corvette Association and Half Penny Bar and Grill (3743 Commercial St SE, Salem) 2nd Annual Corvette Cruise-In Saturday July 27th, 8am 4pm

Willamette Valley Corvette Association and Half Penny 2nd Annual Corvette Cruise-In (Complete one form for each vehicle registration & fee) Please print clearly & fill out completely Entrants Name(s) ________________________________________________________________________ Phone __________________________________ Email __________________________________________ Address ________________________________________________________________________________ City ______________________________ State ____________________ Zip ________________________ Year _____________________________ Make ___________________ Model ______________________ Color ______________________________________ License Plate _________________________________ Club Affiliation ___________________________________________________________________________
Release: I accept and understand the following: This event is sponsored by Willamette Valley Corvette Association. In consideration of acceptance of the right to participate; entrants and spectators release and discharge Willamette Valley Corvette Association, all their representatives and anyone else connected with the management and presentation of this event, from any cause whatsoever that may be suffered by any entrant, participant, or spectator to their personal property. Further, each entrant expressly agrees to indemnify all the foregoing entities, firms, persons, and bodies of any for from all liability occasioned from the conduct of any entrant, participant, or spectator, or under the direction of any entrant, participant or spectator. Any and all media taken by the management related to any participant, vehicle, spectator, etc. becomes the property of the committee. The committee has the right to refuse entry to any vehicle.

Signature: ___________________________________________________________ (Entry form void unless signed)

Date _______________________________

Please make checks payable to Willamette Valley Corvette Association, PO Box 20576, Keizer, OR 97307