Carlmont Village Shopping Center
Shopping, Dinning, Entertainment, and More!
Saturday, June 14, 2008
Proceeds to Benefit Belmont's Arts and Education Fund

By submitting this form, you agree to the terms stated below.
Space is limited to the first 100 Registrants

For more information please call Lenore Griffin @ 650-483-8928 or Mary Morrissey Parden @ 650-593-2197 ext 21

Dash Plaques First 100 Entries

Entry Fee is $25 (includes 1 meals ticket, commemorative t-shirt & goodie bag)

Check can be mailed or drop off at:

Carlmont Merchants Association
1049 Alameda de las Pulgas
Belmont, CA 94002

Entry Fee will increase to $30 on the day of the show, providing space is Availiable.

Adult T-Shirt (please indicate size and quantity)

"NO CARS WITH OPEN HEADERS or WITHOUT MUFFLERS will be allowed"

Belmont Ordinances will be enforced

Name
Address
City
State
Zip
Phone #
E-Mail
Year - Make - Model
Adult T-Shirt (please indicate size and quantity)
Large
X-Large
XX-Large
Medium
Quantity

The Belmont Chamber of Commerce and The Carlmont Merchants Association are registered non-profit business entites. Neither the producer, the sponsor, nor any office, director or shareholder, thereof, Or owner of the building and property which the show is produced, shall be responsible or liable for any damage to all or part of the exhibitor's display and/or vehicle, and /or any persons associated with exhibitor, and the exhibitor shall and does hereby waive any and all rights s/he may have against them for such loss or damage. In consideration of this entry, the owner and spouse and guest agree to permit the Belmont Chamber of Commerce and the Carlmont Merchants Association or its assigns the use of their names and pictures of the entered vehicle for publicity, advertising and commercial purposes.

® Carlmont Shopping Center - All rights reserved.

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