Hosted by the Delaware Valley Classic MG Chapter   

In Association With The Pennypacker Mills Historic Site
"In The Good Old Summertime" Festival

(Right click picture to download PDF formatted registration form)

Saturday, August 7^th 2010

PRE-REGISTRATION FORM      

Name: _____________________________________ Email: __________________________

Address: __________________________________ Club Affiliation: _________________

City: ______________________ State: ____________ Zip Code: ____________________

Car: __________________ Model: _________________ Year: ______ Color: ___________

(Need trailer parking space? Yes ___ No ___)

Pre-registration fee by July 16^th: $15.00 - Make checks payable to: DVC

(July 17^th on: $20.00)

TOTAL Amount Enclosed $________

^{Free XL or L T-Shirts to first 40 Pre-registrants: Size Requested: XL__  L__}

Send checks to: Paul Phillips, 257 Old State Road, Royersford, PA 19468

Additional information: www.dvcmg.com or call 610-792-1158

Release: Neither my heirs nor I will hold the Delaware Valley Classic MG Chapter liable for any personal injuries or damages sustained 

by  me, my party or my car while traveling to and from this event  and while participating in this event.

Signature: ______________________________________   Date: ____________________