SHO Club Convention Registration Form
SHO Club National Convention #14, Indianapolis, Indiana July 18-21, 2005

NOTE: Please mark and pay for all events listed that you want to participate in. We have to commit to numbers in advance.  Refunds: a 6% fee will be retained if you paid by credit card. No refunds after June 30th. Have registrations in by June 30th  please. We will accept late registrations till 7-8, after that see us at the event, but call or E-mail us to let us know you are coming.
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EVENTS/FEES (per person unless indicated otherwise) FEE/Quantity / How Many/ AMOUNT DUE Now

Registration, Per Car ....(includes dash plaque, N/C events).....                $55 ____ ________

Registration at Convention Per Car..(only if you don't pre-register.).    $65 ____ ________
(Last day to mail in registrations: June 30th) 
(Some events may not be available at the convention, so pre-register NOW)

NON SHO Club Member: To become a member…(not required)...            $35 ____ _______
(Includes a year’s SHO Club membership and magazine, add$8 for Canadian address)

Sunday Night dinner. You pay your own bill, attend? How many:                  Y/N _____ _______

Monday Night Reception, free..(will you be there and how many)                 Y/N _____ _______

Tuesday AM Car SHOw........(per car).......…........………………               $5 _____ _______

Tuesday PM Tech Session/Drivers Meeting, attend? How many.                  Y/N _____ _______

Tuesday Afternoon Go Kart racing (reduced rate for our group)............       Y/N _____ _______
Tuesday night dinner, let us know how many will be attending.................       Y/N _____ _______

Wed. Putnam Park Raceway Track Day First Driver ....................           $145 _____ _________
NOTE: Please fill out and return the driver/car info form on the web site or request one from us at our e-mail or phone numbers if doing this event.  Send in these forms WITH your Registration.
                                                                         Second Driver...............  $135 _____ _________
                                                         NOVICE Class (Novice only)........ $120 _____ _________
(Limited to first 90 drivers, maximum two drivers per car, must be in different classes)

Wed. Eve. Dinner, pay on your own, Attend? How many:                           Y/N ______ ________

Thursday Drag Racing at Indianapolis Raceway Park? Per Driver                  $40 _____ ________

Thursday Eve. Banquet (door prizes/auction/awards) Per person.....               $32 _____ ________

Children banquet meal, 6-12, special menu ………………......... ..........        $15 _____ ________

Children 5 and under free, let us know how many ........................                    N/C ____ ________
This will be a PLATED meal, let us know if you have special meal requirements at the bottom of this form.

CONVENTION CLOTHING: Please order now so we can plan ahead:
Convention Hats ………………………………………..…....…                   $12 _____ ________

Convention Shirts....Small, Medium,       Large,XL..........................                  $17 _____ ________

                                                               XXL….….......................                  $18 _____ ________

                                                             XXXL.………....................                 $19 _____ ________
(NO Clothing orders will be taken at the convention, order NOW)

S /H for shirts/hats if not picking up at the convention (per order)......                    $6 _____ ________

Sales Tax for IL Residents only (7.75%) for clothing only…….....…..                     (7.75%) ________

Total DUE NOW: NOTE: Please pay by check or M/O if possible payable to        $______________
Prairie-Sage Ent.

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NAME:________________________________________________________________________

Others attending, (ages of minors)_____________________________________________________

_______________________________________________________________________________

ADDRESS: ______________________________________________________________________

CITY/STATE: _____________________________________________ZIP:___________________

Phone number (s):_________________________________ E-mail:___________________________

Credit Card V/MC/AX/D Account #___________________________ Card Exp Date: ____________

Signature for credit card authorization:____________________________________________________

I/We plan to attend the SHO Club convention in Indianapolis Indiana, July 18-21,2005. I/we agree that the SHO Club, Prairie Sage Enterprises, Inc, its officers, employees, volunteers, local SHO club officers, members and sponsors shall not be held responsible for anything that might occur to myself, my family, my guests, and my car(s) while attending the convention. Please have all adults attending sign below, parents assume responsibility for minor children: 
LEGAL SIGNATURE:__________________________________________________________

SEND TO: SHO Convention #14, 902 S. Main St., Washington, IL 61571 - FAX: 309-444-8570
HOST HOTEL: Marriott East, Indianapolis, IN Phone: (317) 352-1231 Toll Free: (800) 228-9290 Ask for the SHO Club rate. Convention Room Rate = $84 + tax. Alternate Hotel: LaQuinta Inn, 317-359-1021 $69 + tax per night. NOTE: We have a block of rooms but they are not reserved. Make reservations NOW to guarantee a room.
SHO National Convention #14 is a Prairie Sage Enterprises, Inc. Production.