Lake George Donzi Classic Club

2010 Dustoff Registration

Deadline June 4th 2010

Name: ___________________________________________

Mailing Address: __________________________________

Phone: ___________________________________________

E-Mail: __________________________________________

Donzi Classic Model: ____________________________

Year :_________________________________________

Hull Number : __________________________________

Color: _________________________________________

Engine: ________________________________________

Drive: _________________________________________

Boat Name: _____________________________________

State Reg. Number:_______________________________

Event Fee Valid if Postmarked on or before May 24th 2010

Couple Event Fee good for 1 boat and dinner for 2 on Fri. and Sat @ $150.00 _________

Single Event Fee good for 1 boat and dinner for 1 on Fri. and Sat. @ $75.00___________

Additional Friday dinner ticket @ $20.00 ___________

Additional Saturday dinner ticket @ 50.00 ___________

Entry for the Cruise only , good for 1 boat $35.00 ___________

Event Fee Valid if postmarked between May25th and June4th 2010

Couple Event Fee good for 1 boat and dinner for 2 on Fri. and Sat @ $175.00 _________

Single Event Fee good for 1 boat and dinner for 1 on Fri. and Sat. @ $90.00___________

Additional Friday dinner ticket @ $30.00 ___________

Additional Saturday dinner ticket @ 60.00 ___________

Entry for the Cruise only, good for 1 boat $45.00__________

THE DEALINE FOR REGISTRATION IS JUNE 4^TH 2010

THERE WILL BE NO REGISTRATION ON THE DAYOF THE EVENT

Mail this form and payment to:

THE LAKE GEORGE DONZI CLASSIC CLUB

165 ADELPHIA RD.

FARMINGDALE, NJ 07727