No alcohol, bicycles, or unrestrained dogs.  In consideration of the right to participate.  Entrants/participants, by execution of this entry form, release and discharge, Corvette Club of Western MA and Balise Chevrolet, Organizers of this show,  from all known and unknown, damages, loses, injuries, judgement, and claims, and/or from whatsoever.
 
All pre-registration entries will be entered into a drawing to win a $100.00 gift certificate from Balise Chevrolet to spend at Balise.

This Registration is not complete until entry fee of $10 has been submitted.  

 Send Check to: Corvette Club Of Western Ma. Inc. 31 Silver St. Springfield, Ma. 01107

OR

Pay with PayPal using this link:

No Alcohol, Bicycles or Unrestrained Dogs... In consideration of your right to participate, entrants/participants, by execution of this entry form, release and discharge, Corvette Club of Western MA and Balise Chevrolet, organizers of this show, from all known and unknown damages, injuries, losses, judgements and/or claims from whatsoever.

Your pre-registration is not complete until payment is received.  Click "Submit" to sent the form to us, then either mail your check to CCWM, 31 Silver Street, Springfield, MA  01107 or click the "Buy Now" button below to pay here.

Thank you for your donations to CCWM here on PayPal

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