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Summit Fire Department
| 8 th Annual SUMMIT Car Show, Poker Run and Burger Burn! June 18th, 19th, 2010 |
| Phone______________________ Fax____________________ E-mail_______________________________ Show registration -$20 pre reg (before 6/1); $25 reg Total $____________ Slow Drag Races -$5 w/reg; $10 Drag only Total $____________ Poker Run -$5 w/reg; $15 Poker Run only Total $____________ Valve Cover Races -$5 registration Total $____________ Parts swap space—$25 Total $____________ Total amount enclosed $ ____________ Liability release: I hereby certify and agree to release and hold harmless the Summit FD and Summit Firefighters Local 1505 agents, members or affiliates from loss, damage, or injury resulting from participation in the above event. I certify that my vehicle is properly insured to meet legal requirements of liability. ________________________________________ _________________ Signature of Registrant Date Mail to: Car Show, 8905 Koch Field Rd. Flagstaff, AZ 86004 or Fax to: 928-522-8169 REGISTRATION FORM—One Vehicle per Form, Check Payable to Summit Firefighters Local 1505 Hosted by Summit Firefighters Local 1505 to benefit youth, and families in need. For more information call Nik Christian @ 928-526-9537 or e-mail nchristian@summitfiredepartment.org |
| Food, music & informal cruise! $5 for burger and choice of space in Saturday’s show! |
| Limited to first 80 vehicles Best of show and class trophies Music, games, concessions, raffle, auction and 50/50 drawing Parts Swap spaces available |
| Bring your VALVE COVER Racer—$5 Entry! Summit Fire Station #33—6050 E. Firehouse Ln Flagstaff, AZ (6 mi. North of the Flagstaff Mall, Hwy 89) Vendors Welcome—call for more information |
| POKER RUN—2:00 PM ending back at show with awards following! |
| Car Show Entry Form |