Print Name
Sign Name
Northeast Chapter Falcon CLUB OF AMERICA PRESENTS THE 23 rd  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., $20.00 each XX-Lg. $22.00 each                 Sm. ______Med. _____Lg. ________ X-Lg. _____ XX-Lg.______           $______            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.
_