Antique & Classic Boat Show Registration Form

Exhibitor Information

Name*

First Last

Phone*

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Vessel Information

Vessel Name

Vessel Type

Year Built

Where Built

Builder

Home Port

Length

Beam

Draft

Weight

Construction Material

History/Design/Aesthetics

Vessel Picture

Please include an image of your vessel.

Additional Vessel

I would like to register an additional vessel

Vessel Name (2)

Vessel Type (2)

Year Built (2)

Where Built (2)

Builder (2)

Home Port (2)

Length (2)

Beam (2)

Draft (2)

Weight (2)

Construction Material (2)

History/Design/Aesthetics (2)

Vessel Picture (2)

Please include an image of your vessel.

Third Vessel

I would like to register a third vessel

Vessel Name (3)

Vessel Type (3)

Year Built (3)

Where Built (3)

Builder (3)

Home Port (3)

Length (3)

Beam (3)

Draft (3)

Weight (3)

Construction Material (3)

History/Design/Aesthetics (3)

Vessel Picture (3)

Please include an image of your vessel.

Additional Comments

Registration Fee

Registration Type*

Please select from the following:

Single Vessel Registration ($25)
Commercial Vendor Registration ($50)

Additional Vessel Registration

Price: $20.00 Quantity:

Sub Total

$0.00

Boat Show T-Shirts

Each exhibitor will receive (1) complimentary boat show t-shirt. Additional t-shirts are available to order for $15 with registration.

Shirt Size

Small
Medium
Large
X-Large

Additional Shirt

Price: $15.00 Quantity:

Shirt Size

Small
Medium
Large
X-Large

Total Registration Cost

$0.00

Payment Method*

Please select a payment option below. If you would like to mail a check (payable to Michigan Maritime Museum), send it to: Boat Show Registration, 260 Dyckman Ave. South Haven, MI 49090.

Credit Card
I would like to mail a check to the MMM for the total

Billing Address

Use Primary Address

Street Address Address Line 2 City State ZIP Code

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Liability Waiver

As an exhibitor at the Michigan Maritime Museum (MMM) Antique & Classic Boat Show, I release the MMM from all liability for personal injury and/or property damage, caused while at its dock, on its campus, or suffered while at or during the event.

Consent*

I agree to the liability policy.

Date*

MM

DD

YYYY

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Phone

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