NYSSCA
NAME: _____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY, STATE, ZIP: __________________________________________________________________
PHONE: (AREA CODE): ___________ - ___________ - __________________________________
PARTY WITH WHOM YOU WISH TO BE SEATED WITH (DRIVER-CAR#-DIVISION)
*PLEASE NOTE*
SEATING THIS YEAR WILL BE 10 TO A TABLE * PLEASE NOTE*
PLEASE INDICATE DINNER CHOICES
TICKETS ARE $35.00 PER PERSON
PRIME RIB: ____________________________________________________________
STUFFED CHICKEN: ____________________________________________________
VEGETARIAN DISH: ___________________________________________________
Cocktail Hour - 5pm
to 6pmHall of Fame Induction - 6:15pm
Dinner Served Immediately After Hall of Fame Program
Awards - 8pm
Dancing Immediately following Awards Ceremony
“PHIL & STU”
IF YOU NEED ROOM RESERVATIONS, THEY CAN BE MADE BY CONTACTING THE “HOLIDAY INN TURF ON WOLF ROAD. 518-533-1792 MONDAY THRU FRIDAY BETWEEN THE HOURS OF 8:30AM And 5:00PM OR
1-800-HOLIDAY 24 HOURS A DAY. PLEASE ASK FOR NYS STOCK CAR ASSOCIATION (NYSSCA) BLOCK. RATES ARE $119 FOR SINGLE & DOUBLE OCCUPANCY. ALL ROOMS MUST BE MADE BY 12/30/06 TO RECEIVE RATE. (There is no Flexibility with Room Deadline Reservations)
PLEASE RETURN THIS FORM WITH YOUR DINNER CHOICES AND CHECK
NO LATER THAN JANUARY 10TH
Seating is Limited and there is no Flexibility with Ticket Deadline
ALL CHECKS ARE TO BE MADE PAYABLE TO
NYSSCA AND RETURNED TO:GAIL RILEY
244 FONDA ROAD
WATERFORD, NY 12188
TICKETS WILL BE MAILED DIRECTLY BACK TO YOU UPON RECEIPT OF THIS FORM
THERE WILL BE A $35.00 FEE FOR ALL RETURNED CHECKS