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  Member Registration MD2010 Sign Up

Members should fill out the following registration for Media Day 2010 for themselves and their guests as soon as possible.

• After filling out the registration, a check should be sent to Michael Coates
for registration fees which are $80 per member, plus applicable guest fees.

Guest fees are $160 and include the Tuesday lunch on the ride&drive, the WAJ
banquet Tuesday evening and the track lunch on Wednesday. Individual lunches are $50 and the Banquet is $75.   

Checks made out to WAJ should be sent to Michael Coates, WAJ treasurer 17345 Grosvenor Court
Monte Sereno, CA 95030

• Then a reservation should be made with one of the following two hotels:
*Register as a guest of WAJ for discounted rate

Embassy Suites Hotel in Seaside: 831-393-1115 or www.embassysuites.com
Lone Oak Lodge in Monterey: 800-283-LONE or www.loneoaklodge.com

• Please note that only active members can participate in Media Day activities.
If you have not already renewed your membership, you must also do that before 15 March.

First Name: 
Last Name: 
Street Address: 
City: 
State: 
Zip Code: 
Telephone: 
Email: 
Primary Media Outlet: 
Emergency Contact Name: 
Emergency Contact Telephone: 
Where will you be staying: 
Embassy Suites:
Lone Oak:
Other:
Attending Ride & Drive: 
Yes:   No:
Attending On-track Event: 
Yes:   No:
Attending Banquet: 
Yes:   No:
Menu Selection: 
Beef:
Fish:
Chicken:
Vegetarian:
Bringing Guest?: 
No:
Yes:
Guest Name: 
Guest Attending Tuesday Lunch: 
Yes:   No:
Guest Attending Wednesday Lunch: 
Yes:   No:
Guest Attending Banquet: 
Yes:   No:
Guest Menu Selection: 
Beef:
Fish:
Chicken:
Vegetarian:


 
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