Hotrod & Restoration

January/February '13

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PRE-REGISTER NOW! The deadline is February 22, 2013 FAX (817) 277-7616 First-Time Attendees THIS IS A TRADE-ONLY EVENT! aOnly authorized members of the trade will You must send or fax company ID as well as verification for each employee. Visit or call (800) 560-9941 for more information. be allowed admission. Ed Ma Th 8: Co "T Ho "H Lo "L BUSINESS NAME: ______________________________________________________________________________________ Ro MAIN CONTACT: ______________________________________________________________________________________ VD MAILING ADDRESS: ______________________________________________________________________________________ "P "In ______________________________________________________________________________________ CITY/STATE: _____________________________________________________________ PHONE: ___________________________________________ ZIP: __________________ COUNTRY: _________________________ ___________________________________________ E-MAIL: ______________________________________________________________________________________ COMPANY REPRESENTATIVES PLANNING TO ATTEND: "C Cl FAX: TYPE OF BUSINESS: PLEASE SELECT ONE M Fabricator/Restorer/Customizer M Upholstery Shop M Engine Builder/Machine Shop M Exterior Paint & Body Shop M Retailer/Speed Shop/Performance Parts M Manufacturer/Distributor (Please specify) _____________________________________ M Press/Publication/Media M Other (Please specify) _____________________________________ 1: Am MY PRIMARY FUNCTION IS: M Owner/Partner/President M Installer/Fabricator M Machinist M Purchasing M Other (Please specify) ______________________ Dy "A Ed "F St "L 4: Jo "J M "N If you plan on attending the Education & Training Program, please be sure to complete the Seminar Registration Form. Call (800) 560-9941 for a form or visit Please print information as it should appear on badge. "A In R "L S "R W "B Attendee Manuf./ Rep. Press Spouse Breakfast Ticket* Name _________________________________ Email: ___________________________ M M M M M Name _________________________________ Email: ___________________________ M M M M M Name _________________________________ Email: ___________________________ M M M M M Name _________________________________ Email: ___________________________ M M M M M Name _________________________________ Email: ___________________________ M M M M M Trade Show Pass: FREE! (Before February 22, 2013) After February 22: $10 Fee S 8 " " 9 Credit Card #: _________________________________ " " Name on Card: ________________________________ Expiration Date: _____________ REG * You MUST have a breakfast ticket in order to attend the Grand Opening Breakfast. Please arrive no later than 8:15am sharp, otherwise your seat will be released to someone on the waiting list. (No children under the age of 18 will be admitted into the exhibit hall.) Return your form to: March 14-16, 2013 Indiana Convention Center Indianapolis, Indiana Sem HRR Registration c/o CRI 2020 E Randol Mill Road, No. 307 Arlington, TX 76011 Nam Bus Add Phone: (817) 635-0302 Fax: (817) 277-7616 REGISTER ONLINE AND BOOK HOTEL RESERVATIONS AT City Pho Ema HRRS09-2112-40 66 HOTROD & Restoration January/February 2013 2013shwbrochuremailer2_nbm.indd 4 HRR_Jan/Feb13_Pages64-128.indd 66 1/25/13 2:48 PM 1/28/13 1:46 PM 2013shwbr

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