Lake George Donzi Classic Club

2011 Dustoff Registration

Deadline June 1st 2011

 

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 21st 2011

 

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 May 21st and June 1st 2011

 

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 1st 2011

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