Membership

CAR SHOW REGISTRATION

Must be received before May 15/ no refunds after May 15
SEND to: MBCC, PO Box 1701, Murrells Inlet, SC 29576

Car Owner:_________________________________________________

Address: ________________________________________________

City, State, Zip: _______________________________________

Phone: ________________________________

E-mail: ____________________________________

Year:________Model: ________________

Coupe: ______ Convertible: _______ Color: _______________

I am a member of: ___________________________ Corvette Club

Show Costs:

-One Couple = $125

-Single = $65

-Car Show Only = $20

(add $10 for additional car)
Make Check Payable to "Myrtle Beach Corvette Club"

Liability Clause. Entrants and participants by execution of this form, release and discharge The Myrtle Beach Corvette Club, Broadway at the Beach, S.B.B. 4 Corners, their officers, directors, members, employees and anyone else connected with the presentation of this car show, from any and all known and unknown damages, injuries, losses, judgements and/or claims from any causes whatsoever that may be suffered by any entrant or participant to person or property.

Signature/Date:____________________________________________