Registration Mike and Nancy Book PO Box 360775 Columbus, Ohio 43236 Costs

1. 2012 Buick Club of America Great Lakes Regional In conjunction with the 30th Annual Arthritis Foundation Classic Auto show and Cruise In Metro Center, Dublin, Ohio Registration Mike and Nancy Book PO Box 360775 Columbus, Ohio 43236 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 43017 877-270-1393 $119/night includes breakfast Information The Great Lakes Regional Mike and Nancy Book 614-472-3939 BuickClubOffice@aol.com The Arthritis Foundation Classic Auto Show 614-876-8200 www.ArthritisAutoShow.com

2. Buick Club of America Great Lakes Regional Metro Center, Dublin, Ohio July 5 – 7, 2012 Registration Name: _____________________ Spouse/Guest: _______________________ BCA #________ Date:_________ Address: _______________________________ _____City: _________________ St: _________ Zip: ________ Country: USA/ _______________________ Phone: ______________________ Cell: _____________________ E-Mail: ___________________________________________________________________________________ _______________________________________________________________________ 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, 2012 - 1:30pm-4pm – Tour (Anthony Thomas Candy) Friday July 6, 2012 - 9am- 11am – Sutphen Tour - 11am – 6:30pm – Cruise In & Judging - 7:30pm – 10pm The Van Dells Concert Saturday July 7, 2012 - 4:30 – 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 360775 Columbus, Ohio 43236 Registration Questions: call 614-472-3939, or email BuickClubOffice@aol.com ALL PROFITS FROM THE 2012 GREAT LAKES REGIONAL WILL BE DONATED TO THE ARTHRITIS FOUNDATION __________________________________________________________________Host Hotel: The Crowne Plaza - 877-270-1393 600 Metro Place, Dublin, Ohio 43017 Ask for the “BCA” rate $119/ night include breakfast each day