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Snow & Ice ‘97 Registration

Registration fee: Per Car $30  $_________(NEQ) member discount before
January 18th $25)

              Total  enclosed  $_________

CHECKS: Payable to "New England Region, SCCA, Inc." Mail to: 

Snow and Ice '97
c/o Maryanne Rhodes
181 Littleton Rd. #320-6
Chelmsford, MA  01824

Driver_______________________________________ 

Street_______________________________________ 

City/St/Zip___________________________________ 

Telephone____________________________________ 

Member of: TCNE_______SCCA______ NEQ______

Navigator____________________________________ 

Street_______________________________________ 

City/St/Zip__________________________________ 

Telephone______________

Member of: TCNE_______SCCA______ NEQ______

Class: A_______B_______C_______NOVICE_______ 

Car Make______________Model______________Year_______

Reg#______________State_______

THIS EVENT WILL BE CONDUCTED IN ACCORDANCE WITH THE 1996 NER-SCCA RALLY 
REGULATION, AS AMENDED. THE ENTRANT WARRANTS THAT AN AUTO INSURANCE 
POLICY WITH LIABILITY LIMITS OF NOT LESS THAN $100,000/$200,000/$50,000 
IS IN FORCE FOR EACH VEHICLE ENTERED. IN SIGNING THIS FORM I AGREE TO 
ABIDE BY ALL THE REGULATIONS AND DECISIONS OF THE RALLY COMMITTEE. IF 
EITHER THE DRIVER OR NAVIGATOR IS UNDER 18, A  MINOR RELEASE FORM MUST
BE 
OBTAINED AND FILLED OUT BEFORE THE RALLY. 

Signature of Driver/Date_______________________________

Signature of Navigator/Date____________________________



Cut here ---------------------Cut here-------------------------Cut here

Please send in the above form for the registration of the Snow & Ice 97
Road Rally.

Questions about this event should be directed to:

Rallymaster David Lewis (508) 597-5752, David-L@ma.ultranet.com. 
Chairperson/Registrar Maryanne Rhodes (508) 256-7285, mar830@aol.com 

Please let them know that you are either a NEQ member or have heard
about this event from us.

Thank you and see you there.

Bob W. B>}
NEQ http://www.netaxis.com/~zcritter/director.html