2^nd Annual Car Show

VEHICLE REGISTRATION FORM

Name: _____________________________________________________

Address: ___________________________________________________

City: _________________________________ State: _______________

Make: _______________________ Model: _______________________

Year: _______________ Vehicle Registration: ____________________

Club Affiliation: ______________________________________________

Early Registration by July 1, 2011 - $ 10.00 _______

Registration after July 1, 2011 - $15.00 _______

Checks made payable to: Old Colony & Fall River Railroad Museum, Inc.

As a participant in this event, I agree to release the Old Colony & Fall River Railroad Museum, Inc. and

the officers and directors from any and all liability arising out of this event.

Signature : (required) __________________________ Date: _________

Sponsored by: THE OLD COLONY & FALL RIVER

RAILROAD MUSEUM, INC.