|
Number of Persons Attending |
|
|
Please enter the full names
of the person(s) attending. For each name, you will also enter what
will appear on the name tag for that person. If you would like to
display your online handle or nickname, enter your first and last name on Line1 and your
online handle
or nickname on Line2. Otherwise we recommend your first and last name
on Line2 if it fits. If not, enter your first name on Line
1 and last name on Line2.
** NOTICE : the sample name tag(s) to the right
are exactly how your tag(s) will look.
Please make sure they are correct :)
|
| Name(1):
(Req) |
Tag Line 1
Line 2
(Req)
Friday Lunch Selection: (Req)
|
| Name(2):
(Req) |
Tag Line 1
Line 2
(Req)
Friday Lunch Selection: (Req) |
| Name(3):
(Req) |
Tag Line 1
Line 2
(Req)
Friday Lunch Selection: (Req) |
| Name(4):
(Req) |
Tag Line 1
Line 2
(Req)
Friday Lunch Selection: (Req) |
| Name(5):
(Req) |
Tag Line 1
Line 2
(Req)
Friday Lunch Selection: (Req) |
| |
|
| Address1:
(Req) |
|
| Address2: |
|
| City:
(Req) |
|
| State/Country:
(Req) |
|
| Postal Code:
(Req) |
|
| Phone
(Home): |
|
| Phone
(Work): |
|
| Phone
(Cell):
(Req) |
( if we need to contact you on the road) |
| Phone
(911):
(Req) |
( your
emergency contact ) |
| E-mail:
(Req) |
|
|
Hotel: |
|
| |
|
|
Summit Wear |
|
|
|
|
|
|
|
|
|
|
Short Sleeve @ $16 |
Small |
Med |
Large |
XL |
XXL |
Sub Total |
|
White - 100% Cotton |
|
|
|
|
|
$0.00 |
|
White - 50/50 |
|
|
|
|
|
$0.00 |
|
Black - 100% Cotton |
|
|
|
|
|
$0.00 |
|
Black - 50/50 |
|
|
|
|
|
$0.00 |
|
Long Sleeve @ $20 |
|
|
|
|
|
|
|
White - 100% Cotton |
|
|
|
|
|
$0.00 |
|
Black - 100% Cotton |
|
|
|
|
|
$0.00 |
|
Shirt Total |
$0.00 |
** NOTICE :
Postage and handling for shirt orders for those not
attending the event will be $5 for the first shirt and $1 for each
additional shirt. Please include that with your payment only if you
are not attending the event. |
| |
|
Additional
Summit Wear
The Blue Ridge Boxster Summit has teamed up with nationally known clothier
Lands' End
to provide
embroidered BRBS event merchandise.
The price for the embroidered logo is $5.50 per item, plus the regular cost
of the item and shipping.
In addition, Lands End will charge a surcharge of $5.50 per item for orders
of less than 6 per product
style. Visit our Lands' End page for more
details. |
| |
|
|
Summit Registration, Meals and Events |
| |
|
|
Registration Fee |
$242.00 Per Person. Includes 3 dinners (Thursday, Friday, Saturday),
2
lunches (Friday & Saturday),
Friday's Fun Rally and prizes, Welcome Kit with logoed merchandise,
Blue Ridge Parkway Foundation contribution, name tags, web site, event
insurance, and other related event expenses.
| |
|
SubTotal |
| Persons Attending : |
1 |
$242.00 |
|
|
|
|
|
Optional Early Thursday Events (Self pay at event) |
| |
| Persons Attending :
|
Self Pay |
|
| |
|
|
GRAND TOTAL |
(Registration, Early Days, Shirts) |
$242.00 |
|
|
|
|
|
|
|
Optional Questions |
|
|
|
What years have you attended BRBS ? |
|
|
|
|
|