| Rocket Roundup 2021 Registration
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30th ANIVERSARY OF THE NORTHERN LIGHTS OLDSMOBILE CLUB
27th ANNUAL SHOW HILDEBRAND MOTORS,
SATURDAY
JULY 17th, 2021 / 12 NOON – 4:00 PM
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| Last Name: |
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City: |
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First Name: |
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Province: |
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Address: |
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Postal Code: |
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NLOC Membership ID: |
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Email: |
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**
Please enter quantities for the items you wish to order,
and calculate the totals.
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| *** If you are not paying through PayPal,
please download the printed
form and mail in with payment. |
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Vehicles: Member
Pricing - One Car (Goody Bag) $10.00 (by July 10,
2021) or $20 after this date. Additional cars $5.00 each.
Late or Non-Members One
Car (Goody Bag) $20.00, additional cars $10.00
each. |
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| Note: You can purchase a membership
at the bottom of this form. |
Quantity |
Price |
Total |
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| 1. Year:
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Model:
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Member Price:
before July 10, 2021 |
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| Body Style:
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Member Price:
After
July 10, 2021
& Non-Member Price: |
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| 2. Year:
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Model:
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Member Price: |
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| Body Style:
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Non-Member Price: |
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| Northern Lights 25th Anniversary
T-Shirt: |
Small |
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Medium |
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Large |
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Extra Large |
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| Northern Lights
20th Anniversary Car Flag: |
(while quantities last
no re-order) |
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| Northern Lights
25th Anniversary Car Flag |
(limited quantities
no re-order) |
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Northern Lights Chapter Membership
(Expires January 31, 2023):
(NEW MEMBERS ONLY - STARTING IN JULY) |
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| ** Ensure this Total is correct,
then click submit to pay ** |
Total |
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* Banquet tickets must be purchased by July 10
– after
that date, you can only buy a ticket off someone who has
cancelled (if avail.)
* Car must be present on the show field, to receive a goody
bag
** Your
transaction can not be completed until payment is made! **
If you are not paying through Pay Pal, please download the printed
form and mail in with payment.
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