PLEASE FILL OUT AND INCLUDE PAYMENT TO :
JOEL SHIPLEY / HRHD P.O.BOX 15243 PHILA PA 19125 |
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NAME: ___________________________________________ |
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ADDRESS:___________________________________________ |
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email: ____________________
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telephone: ____________ |
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Type of Car ____________________
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Year: ____________ |
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| ADMISSIONS |
| Saturday: $15 |
x # of persons: |
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$ |
| Sunday: $10 |
x # of persons: |
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$ |
| Weekend Pass : $20 |
x # of persons: |
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$ |
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Total: $____________________________
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DISCLAIMER:
BY PURCHASING YOUR ADDMISSION TO THE HRHD YOU AGREE TO ABSOLVE THE HRHD/J.SHIPLEY/the UNITED GERMAN HUNGARIAN CLUB/ any and all members/volunteers/employees/ anyone related to / the event or venue/any one involved /related or concerned with ANY AND ALL LIABILITIES for my person/persoanl safety/and that of my property. You also take full responsibility for your actions , the result of your ations, your property , the results of your property, it's safety, and that of anyone that accompanies you; to /from/during/after/and in all perpituity . WE RESERVE the right to deny addmission to any one and /or expell anyone for any reason at any time. Basicly be cool man ! |
