2002 EVCO Electrathon

Early Registration Date: February 28, 2002 - Registration Fee: CDN$20.00

Regular Registration Date: April 30, 2002 - Registration Fee: CDN$30.00

Late Registration fee: CDN$40.00 (subject to available slots)

The correct registration fee must be enclosed with this form in order for it to be considered. Cheques or money orders should be made payable to Electrathon 2002. Do not send cash through the mail. One team registration is required per vehicle.

In addition to this form, a separate Team Member's Registration and Liability Waiver Form must also be provided for each team member. A maximum of 8 people may be registered for a team in the Open Class.

Name of Team: ________________________________________

Street Address: ________________________________________

Mailing Address: ________________________________________

Telephone (voice): _________________________

FAX number: _________________________

Internet E-mail address: _____________________________________

Preferred method of communication: __ e-mail __ FAX __ regular post

We understand and accept the rules for the 2001 EVCO Electrathon. We understand and accept that none of EVCO, other Electrathon sponsors, or their agents, officials, delegates or volunteers are liable for any injury, damage or loss resulting from our participation in the EVCO Electrathon, including but not limited to, the construction, use and transport of the Electrathon vehicle and participation in the actual event.

Signature ____________________________
Name and position (please print)_________________________________________

at (location)________________________,
this (date)_________________________________________

If your team is requesting a specific identification number for your vehicle, please indicate that number here. ___________