Texas Miata Roundup 2008
October 24 - 26, 2008
Registration Form
* = required information
First Name:
*
Last Name:
*
Address 1:
*
Address 2:
City:
*
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AA
AE
AP
AS
FM
GU
MP
MH
PR
PW
VI
*
Zip:
*
Email:
*
Phone (Daytime):
Phone (Evening):
Phone (Cell):
Home Club:
*
Miata Year:
Miata Color:
Miata Model:
At which hotel are you staying?
*
May we email you about other Miata events?
Yes:
No:
Would you like to share your contact information with your fellow attendees?
Yes:
No:
Would you like to share your contact information with vendors?
Yes:
No:
Liability Notice
By checking the box below and submitting this form, I certify that I am the above participant, and have read the
Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement
, fully understand its terms, understand that I am signing it, understand that I am giving up substantial rights by signing it, and am signing it freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
I Agree
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