Registration Mike and Nancy Book PO Box Columbus, Ohio Costs First car - $75 (includes registration for all 3 days, Tours, & Awards ceremony) Additional cars - $30/car CAR CLASSES SUBJECT TO CHANGE Host Hotel Reservations The Crowne Plaza 600 Metro Place, Dublin, Ohio $119/night includes breakfast Information The Great Lakes Regional Mike and Nancy Book The Arthritis Foundation Classic Auto Show CLASSYEARSMODEL Straight 8's Skylark V-8's Full Size Skylark Special Skylark Special GS, GSX All except Riviera All except Riviera & Reatta All except Riviera & Reatta Riviera Riviera Reatta Grand National, T-Type Regal, LeSabres, GNX 19 - Modified In conjunction with the 30 th Annual Arthritis Foundation Classic Auto show and Cruise In 2012 Buick Club of America Great Lakes Regional Metro Center, Dublin, Ohio Thurday July 5Friday July 6Saturday July 7 8am – 12pm – Registration 1:30pm-4pm – Tour (Anthony Thomas Candy) Dinner on your own 8am – 12pm – Registration 9am-11am – Sutphen Tour 11am -6:30pm Arthritis Foundation Cruise In and Judging 7:30pm-10pm – Oldies Concert (The Van Dells) 8:30pm – 9pm Arthritis Foundation Awards 7:30am – 11:30am – Registration and Parking 11:30am – 3pm – Judging 4:30pm – 6pm – BCA Awards and Snacks 6:30pm – Oldies Concert (Phil Dirt and the Dozers)

Buick Club of America Great Lakes Regional Name: _____________________ Spouse/Guest: _______________________ BCA #________ Date:_________ Address: _______________________________ _____City: _________________ St: _________ Zip: ________ Country: USA/ _______________________ Phone: ______________________ Cell: _____________________ ___________________________________________________________________________________ _______________________________________________________________________ BCA Member Registration (Drivers, Archival, Display, or Modified Class Only) fee includes: Member and Guest registration,Dash plaque, Program, Hospitality, plus one car registration 1 x $75.00 = Total $_______ Non – BCA Member At Large Registration (Drivers, Archival, Display, or Modified Class Only) Includes: Member At Large fee of $5.00 and Guest Participation, Dash Plaque, Program, Hospitality, plus one car registration 1 x $80.00 = Total $______ _______________________________________________________________________ Car Registration _____ Judged First car ___ (included in registration fee) Additional # of cars _____x $30 = Total $_______ CLASSES SUBJECT TO CHANGE DEPENDING ON REGISTRATION TOTALS ______________________________________________________________________ Buick Car Information Car Registration: Year________ Model __________________ Body____________ Are you available to serve on a judging or administration team? Cirlcle one Yes/No Do you need parking for a trailer? Circle one Yes/No How many spots? ________ RV hook-ups please inquire ______________________________________________________________________ Vendor Registration: Flea Market at Host Hotel Outdoor – Paced side-by-side spaces 9’ x 18’ # of spaces ___x $25 = Total $_____ Indoor – side-to-side spaces 10’ x 10’ (Vendor must supply tables) # of spaces ___x $25 = Total $_____ ______________________________________________________________________ Tours & Activities *Following activities included in car registration ** All Tours depart from Host Hotel Thursday July 5, :30pm-4pm – Tour (Anthony Thomas Candy) Friday July 6, am- 11am – Sutphen Tour - 11am – 6:30pm – Cruise In & Judging - 7:30pm – 10pm The Van Dells Concert Saturday July 7, :30 – 6pm BCA Awards and Buffet - 6:30 pm – Phil dirt and the Dozers Concert ______________________________________________________________________ Payment: Checks/Money Orders (USD only please) made payable to : 2012 BCA National Meet MC/VISA #_____________________________ Exp Date________________ Total Enclosed $________ Send form and payment to: Mike & Nancy Book PO Box Columbus, Ohio Registration Questions: call , or ALL PROFITS FROM THE 2012 GREAT LAKES REGIONAL WILL BE DONATED TO THE ARTHRITIS FOUNDATION __________________________________________________________________ Host Hotel: The Crowne Plaza Metro Place, Dublin, Ohio Ask for the “BCA” rate $119/ night include breakfast each day Metro Center, Dublin, Ohio July 5 – 7, 2012 Registration