|LAKE ERIE BOAT WEEK
"FIRST 100 CLUB"
Last First M.I.
Please list my contribution as "Anonymous": _____
Street (Include Apt. or P.O. Box No.) City State Zip
Phone Numbers: Evening: ( )_____________ Day: ( )____________ Fax: ( )____________
T-Shirt Size: M L XL XXL (Circle one)
- Cost to become a member of the Lake Erie Boat Week "First 100 Club" is $250.00 (U.S. funds);
- The "First 100 Club" list - from the first to the hundredth supporter - will be designated publicly
and numerically by the date your registration and check are received in the Lake Erie Boat Week
office. If multiple registrations are received on the same day, the listings will be designated
alphabetically by last name of the registrant;
- The information you supply below in the registration form is how you will be recognized and
publicized for your support of "Lake Erie Boat Week;"
- You will be listed by personal name only - not a business name;
- There is an option for anonymous supporters, and your listing will be designated "anonymous,"
but you will still be listed in the order of registration received;
- If you send in a $250.00 check to be included in this exclusive club, and the club is filled for 2010,
your check will be immediately returned to the address you supplied on your registration form;
- If, for any reason, the Lake Erie Boat Week event does not take place in 2010, your money will be
returned to the person and the address listed below on the registration form.
Print and send this registration form and check or money order for $250.00
made payable to "Lake Erie Boat Week" to:
Event Director, Lake Erie Boat Week
24515 Electric Drive
Bay Village, OH 44140
Please make all checks and money orders for $250.00 U.S. payable to "Lake Erie Boat Week."
Please do not send cash.
FOR OFFICE USE ONLY:
Date registration received:_______________________________
Club Registration Number assigned:_______________________
Public number assigned:________________________________
Amount of check:______________________________________
Name on check:_______________________________________