Northeast Chapter 
Falcon CLUB OF AMERICA  PRESENTS THE  23rd
 ANNUAL  REGIONAL FALCON MEET   August 19 & 20, 2022 at the Crowne Plaza Hotel  801 Greenwich Ave., Warwick, RI  02886 Meet and Banquet Registration Form   Name: ________________________________________Spouse/Guest: __________________________    Address: _______________________________________________   City:  _______________________              State: __________________   Zip: ________________    Phone: (______) ____________________    Falcon Registration Information    Vehicle Year: _________   Model:  ______________________   Body Style: ___________________    Color: ________________ Engine: __________ Stock: _____   Lt. Mod. ______  Modified ______                Falcon Registration Fee: $20.00                                  1 @          $____________  or Special Daily Driver Class: $15.00                         1 @           $ ____________  Banquet: Saturday August 20, 2022 at 6:00 pm ______ @ $40.00  $                        .  Stuffed Boneless Chicken Breast    #__________         Baked Scrod _#_______     VENDOR SPACE FEE:  $20.00            1 @  $ ___________________   T-Shirts:  Sm.  _______ Med. ______ Lg. ______ X-Lg. _____  XX-Lg. _______   Sm., Med., Lg., X-Lg., $20.00 each     XX-Lg. $22.00 each          $ ____________   Total Falcon Registration, T-shirts & Banquet Amount:               $ ___________   For Hotel registrations call the Crowne Plaza Hotel at 401-732-6000 Group Code FAL  Room rates are $135.00 plus tax per night guaranteed until July 19, 2022   You must mention Falcon Club Show when making your reservations.   Send this form and remittance payable to:  Northeast Chapter FCA,  c/o Cristine Bowes, 552 Franklin Road, Coventry, RI 02816 For more information, contact Cristine Bowes at (401) 529-2622 or falconsprint@aol.com      WAIVER OF LIABILITY   I agree not to hold the Northeast Chapter, the Falcon Club of America, or the Crowne Plaza Hotel responsible for losses, damages, or injuries while at this Convention.     __________________________________________   _____________________________________ Print Name             Sign Name