Tahoe Healey Meet 2022 On-Line Registration If you don't want to register online & pay via Paypal, click here to download a PDF to mail. Registration PDF Please do not use Auto fill on the form below! Please allow pop ups to get to the PayPal payment page! [order_id order_id-222 cf7-hide] First Name (required) Last Name (required) Spouse / Guest First Name Spouse / Guest Last Name Additional Person First Name Additional Person Last Name Additional person First Name Additional Person Last Name Address (required) City (required) State / Province (required) Zip Code (required) Phone (required) Cell Phone Club Affiliation Country if not U.S.A. Your Contact Email (required) ___________________________________________________________________________________________________________________________________ Enter year of Car 1 Are you bringing a trailer?*-No or Yes--NoYes Enter the model of Car 1 from one of the areas below Original owner / family?NoYes *-select model 100 4 cylinder--BN1BN2100M - Lemans100S *-select model 100 6 cylinder--BN4BN6 *-select model 3000--BN7 2-seaterBT7 4-seaterTricarbBJ7BJ8 single lightBJ8 dual light *-select Bugeye model--AN5 [select menu-sprite *--select Sprite model--" "AN7" "AN8" "AN9" "AN10"] *-select other Healey model--Jensen HealeyNash HealeyNasty Boy ___________________________________________________________________________________________________________________________________ Enter year of Car 2 Are you bringing a trailer? *-No or Yes--NoYes Enter the model of Car 2 from one of the areas below Original owner / family?NoYes *-select model 100 4 cylinder--BN1BN2100M - Lemans100S *-select model 100 6 cylinder--BN4BN6 *-select model 3000--BN7 2-seaterBT7 4-seaterTricarbBJ7BJ8 single lightBJ8 dual light *-select Bugeye model--AN5 *-select Sprite model--AN7AN8AN9AN10 *-select other Healey model--Jensen HealeyNash HealeyNasty Boy ___________________________________________________________________________________________________________________________________ Pricing Registration for two including car -------(enter 1) @ $ 450 After Feb. 1, 2022 ----------------------------(enter 1) @ $ 499 Reg. for 1 w/car or # of additional people --------- @ $235 After Feb. 1, 2022 1 w/car or # of addnl people @ $285 Optional Concours Judging fee -------------------- @ $200 per car Vikingsholm Private Tour and drive - $100 per person Virginia City / V&T Railroad Tour ----- @ $25 per person Total: -------------------------- [calculation total min:0 max:3000 precision:0 size:15"(reg4-2*450)+(reg4-1*235)+(concours*200)+(viking*100)+(opt-tour*25)"] USD [calculate_button calctotal autocalc cf7-hide "Calculate total"] Please complete the rest of the form below. When finished, click on the register button and you will be registered and then click the PayPal button separately to pay for the total registration fee shown above. Other Events Funkana- Tell us how many people ------------------------------ Rocker Cover Race - Tell us # of cars you plan to enter. Ladies Tech Session & Wine Tasting --------------------------- Awards dinner Tell us how many of each dinner type. Prime Rib ------ Chicken Oscar The following checkbox is required to register By checking this box, I/we release the Golden Gate Austin Healey Club, Austin Healey Club USA, and Austin Healey Club of America, its officers and members, and all other event sponsors and organizers from any and all liability for any loss, damage or other claim on account of injury to persons or property resulting from my/our participation in Tahoe Healey Meet 2022, including travel to and from the event. I further attest that the registered car(s) is/are covered by suitable liability insurance. You will need to click the "PayPal" button first and then the "Click to Register" button separately! [paypal paypal_button newtab email:treasurer.ggahc@gmail.com field:total currency:USD "Healey Rendezvous 2022 Registration"]
