DELOREAN MID-ATLANTIC CLUB

HomeMembers AreaEventsBecome a MemberScrapbookContact Us

 

Please complete the application, print, and mail with your check (written out to 'DeLorean Mid-Atlantic Club') to:

Delorean Mid-Atlantic Club
c/o  John Loder
12 Spear Lane
Denville, NJ 07834

Member's Name

Spouse/Sig. Other

Street Address

City

State

Zip

Home Phone

Cell Phone

E-Mail

VIN

License Plate

 

RELEASE OF LIABILITY

The undersigned and their guests release DeLorean Mid-Atlantic and its officers and directors from any and all liability for loss or injury relating to an event sponsored by DeLorean Mid-Atlantic.

 

The undersigned and their guests release the sponsors of any DeLorean Mid-Atlantic activity from any and all liability for loss or injury.

The undersigned and their guests release DeLorean Mid-Atlantic, its officers and directors, and all of its members from any and all liability for advice and assistance in the maintenance of any automotive vehicle. All advice and assistance is used by the undersigned at his/her own risk.

 

The undersigned and their guests agree that participation in activities related to DeLorean Mid-Atlantic is at the risk of the undersigned and his/her guests.

 

Dated this____________day of ________________, 20____.

 

  _________________________________________________
Signature of Primary Member

 

  _________________________________________________

Signature of Spouse/Significant Other Member