Form

2010 VTCI South Central Regional Convention Registration Form
Name*
Current VTCI# (if none, enter NONE in space)*
Spouse/Children's Names*
Street Address/PO Box*
City/State/Zip*
Phone Number*
E-Mail Address*
Chapter Affiliation (if NONE, enter NONE in space)*
Are You Willing to Judge

Yes No
Is this your first VTCI Event

Yes No
Entering A Vehicle*

Yes No
VEHICLE 1*
1st Entry Year
1st Entry Vin#
1st Entry Color
Model (Choose)

Hdtp/Cpe Convertible 2 Dr Landau 4 Dr Landau Sprt Rdstr
Trailering Vehicle*

Yes No
VEHICLE 2*
2nd Entry Year
2nd Entry Vin#
2nd Entry Color
Model (Choose)

Hdtp/Cpe Convertible 2 Dr Landau 4 Dr Landau Sprt Rdstr
Trailering Vehicle*

Yes No
NON-JUDGED DIVISIONS
1st Car

Senior (A) Display (f)
2nd Car

Senior (a) Display (f)
JUDGED DIVISION
1st Car

Senior (a,b) Primary (b,c) Driver (c,e) Late Model (80-97) Modified (f) Touring (c,d) 2002-2005 (f,g)
2nd Car

Senior (a,b) Primary (b,c) Driver (c,e) Late Model (80-97) Modified (f) Touring (c,d) 2002-2005 (f,g)
a) T-Birds having received 1st Place in Primary Division at an International Convention
b) Eligible for "Best of Show" award
c) 1955-1979
d) Undercarriage not judged, some modifications for safety and comfort allowed, see concours rules
e) Engine Compartment, trunk & undercarriage not judged
f) open to all years. 2002-2005 this category
g) 2002-2005, 100 Point System, no undercarriage judged, few or no modifications deductions
EVENT PAYMENT
Single Family Registration VTCI Member

$40
Single Family Registration NON VTCI Member

$75
Additional T-Birds

1 Additional - $10
Thursday Night Ice Cream Social COST: FREE

1 Person Attending 2 People Attending 3 People Attending 4 People Attending 5 People Attending
Friday NASCAR TMS Laps (40 participants required)

1 Car Entered - $45 2 Cars Entered - $90 3 Cars Entered - $135
Friday Night Drive-In Social (Marriott)

1 Person - $15 2 Persons - $30 3 Persons - $45 4 Persons - $60
Awards Banquet (Circle R Ranch - includes Transp.)

1 Person - $45 2 Persons - $90 3 Persons - $135 4 Persons - $180
Transportation to Shopping (Southlake or Grapevine)

1 Person - $5 2 Persons - $10 3 Persons - $15 4 Persons - $20
Special Edition Convention T-Shirts - Please use 1 selection per t-shirt ordered, i.e. if you are ordering 3 t-shirts, please use selection 1, 2, and 3, etc.
Convention T-Shirt Selection 1 - $15
Convention T-Shirt Selection 2 - $15
Convention T-Shirt Selection 3 - $15
Online Registration Fee*

$5
Total Amount Due From Above*
USD Donation
Registration deadline May 10, 2010. Cancellation deadline May 10, 2010. Cancellation Fee: $20.
Hotel Reservations: Marriott - Tel: 866-348-3984. Rate Code: Vintage Thunderbird Club
Should be Empty:

2010 VTCI South Central Regional Convention Registration Form