2002
WEST COAST FOUR WHEEL DRIVE CLUB, INC./USMC TOYS FOR TOTS PROGRAM
|
NAME: |
DATE: |
|
|
ADDRESS: |
PHONE: |
LICENSE: |
|
CITY: |
STATE: |
ZIP: |
|
VEHICLE
MAKE: |
YEAR: |
|
|
CLUB
AFFILIATION: |
|
|
THE ABOVE NAMED PARTICIPANT WILL PROVIDE SEATS AND SEAT
BELTS FOR EACH OCCUPANT IN THE STREET LEGAL, LICENSED AND INSURED VEHICLES
DESCRIBED ABOVE. ALL SPEED AND TRAFFIC
LAWS WILL BE OBSERVED.
I UNDERSTAND THAT ANY DECORATIONS THAT I
MAY PUT ON MY VEHICLE WILL NOT IMPAIR VISIBILITY, OR IN ANY OTHER WAY RENDER
SAID VEHICLE UNSAFE TO OPERATE, AND ANY TRAFFIC CITATIONS INCURRED DURING THE
EVENT ARE MY SOLE RESPONSIBILITY.
|
SIGNED: |
DATE: |
FOR GOOD AND VALUABLE CONSIDERATION, THE RECEIPT OF WHICH IS
HEREBY ACKNOWLEDGED, I DO HEREBY RELEASE, ACQUIT AND FOREVER DISCHARGE THE
CALIFORNIA ASSOCIATION OF 4WD CLUBS, UNITED STATES MARINE CORPS, AND WEST COAST
FOUR WHEEL DRIVE CLUB, INC., TOGETHER WITH ITS AGENTS, VOLUNTEERS, EMPLOYEES,
PARTICIPATING MUNICIPALITIES, LANDLORDS AND THEIR AGENTS, SUMMON AND ASSIGNS
FROM ANY AND ALL CLAIMS, ACTIONS, COVERS OF ACTION, DEMANDS, DAMAGES, COSTS,
EXPENSES AND LOSS OF COMPENSATION WHICH THE UNDERSIGNED NOW HAS OR WHICH MAY
HEREAFTER ACCRUE TO HIM ON ACCOUNT OF OR IN ANY WAY GROWING OUT OF ANY AND ALL
KNOWN AND UNKNOWN, FORESEEN AND UNFORESEEN BODILY AND PERSONAL INJURIES AND OR
PROPERTY DAMAGE AND WHATEVER OTHER CONSEQUENCES THEREOF RESULTING, OR TO RESULT
FORM ANY CASUALTY, ACCIDENT OR EVENT RESULTING FROM DIRECTLY OR INDIRECTLY, MY
PARTICIPATION IN THE WEST COAST FOUR WHEEL DRIVE CLUB, INC., TOY DRIVE 2002
HELD IN DECEMBER, 2002, AND FURTHER TO HOLD HARMLESS AND INDEMNIFY USMC AND
WEST COAST FOUR WHEEL DRIVE CLUB, INC., FROM ANY AND ALL THIRD PARTY CLAIMS, OF
WHATEVER NATURE, RISING OR RESULTING FROM SAID WC4WDC/USMC TOY DRIVE ON THIS
DATE.
|
|
|
|
DATE |
PARTICIPANT |
|
DATE |
PARTICIPANT |
![]()
If you would like to purchase a 2002
Toy Drive T-Shirt or Dash Plaque, please complete the order form with Quantity
and Size and mail to WC4WDC, P.O. Box 28583, Santa Ana, CA 92799 by November
10, 2002 to be guaranteed a T-shirt and/or Dash Plaque. Please make checks payable to WC4WDC.
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
T-Shirts |
SMALL |
|
MEDIUM |
|
LARGE |
|
XL |
|
|
#
of T-Shirts x $14 (S, M, L, XL) |
= |
|
T-Shirts |
XXL |
|
XXXL |
|
|
|
|
|
|
#
of T-Shirts x $15 (XXL, XXXL) |
= |
|
Dash Plaque |
|
|
|
|
|
|
|
|
#
of Dash Plaques x $3 |
= |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total $ |
= |
|
The default is a large logo on the back and a small
pocket logo on the front. |
|
If you would like to have just a large logo on the
front, please check here. |