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2009 Racer’s Flea Market Form.
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2009 Five Mile Point
Saturday, October 31st – 9:00 a.m.
Applicant Name:
________________________________________________________________
Applicant
Address:
_____________________________________________________________
(please
print and fill out completely)
__________________________Zip Code:
______________
S.S #: _______-______-______
General Items to be sold:
__________________________________________________________
Birth Date: ____/____/____ Phone Numbers: (h) __________________ (w) _________________
Cell Phone Number: ___________________ Email Address: __________________________
Displays will be setup behind the
main grandstand area and in the upper parking lot throughout the day. Setup is between 8:00 a.m. and 9:00 a.m. The Swap Meet opens at 9:00 a.m.
Vendors welcome, race
cars, tools, equipment, race parts & accessories, antiques, passenger car
parts – if you own you can sell it.
The grandstand will be
cleared at 3:00 p.m. to sell tickets for the racing program.
Please phone the
speedway offices at (607) 775-5555 for additional details.
Cost: $20
(10’ x 10’ space)
$30
(20’ x 20’ space)
IN CONSIDERATION of the
acceptance of this Five Mile Point Speedway Racer’s Flea Market Form, I for myself, my heirs, next of kin,
personal representatives and assigns, FOREVER RELEASE, REMISE and FOREVER
DISCHARGE and AGREE TO HOLD HARMLESS and INDEMNIFY the promoters presenting
races or other events, the owners (lessors) of the
premises at which these events are held, the participants, theron,
and the owners, sponsors and manufacturers of all racing equipment used in any
of these events, the officers, directors, agents, employees and servants of all
of them, including officials and Five Mile Point Speedway members, Southern Tier Micro Reality Racing,
Inc. (STMRR, Inc.), Five Mile Point Speedway, Inc. of and from all liability,
claims, action and of possible causes of action whatsoever. Including negligence of any of the foregoing,
that may accrue to me or my heirs, next of kin and personal representatives
from every and any loss, damage and injury, including death, that may be
sustained by my person and property while in or about and enroute
into and out of any Five Mile Point Speedway event.
By Signing this 2009
Five Mile Point
Applicant Signature: _____________________________ Date Signed: _______________
Checks may be made
payable to: Five Mile Point