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| Pre-Registration is $15.00 if postmarked by April 15, 2008 The first 150 registered vehicles receive a free dash plaque! Please complete, print and mail this form with your payment to: Back to the Beach 1611 Ruxton Road Edgewater, MD 21037 Click Here to Contact Us for Additional Information |
| In consideration of the acceptance of the right to participate, entrants and participants, by execution of this entry form, hereby release and discharge any cause of action against "Back to the Beach Car Show" and its members and any other entity connected with the management and/or presentation of this show for any and all known or unknown damages, injuries, losses and/or other claims whatsoever. |
| Signature of Participant Date |
| A portion of the proceeds will be donated to Breast Cancer Awareness |