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Texas Miata Roundup 2008

October 24 - 26, 2008

Registration Form

* = required information

First Name:*
Last Name:*
Address 1:*
Address 2:
City:*
State:*
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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