Phoenix Flight Online Registration

Please fully complete the online registration form below.

We accept credit card payments via Paypal.com.
Follow this link and select "Phoenix Flight" from the event drop down menu.

Check payments should be mailed to the address below.
Please make checks payable to "Arizona Region PCA".

If you'd like to mail-in your registration form, please download the form and mail the completed form to:
Betsy Andrade, Flight 32 Registrar, 2735 S. Spruce St., Mesa, AZ 85210-7670.

Any Questions? Contact Betsy Andrade, Event Registrar - 602-550-1212 or via email

Register by October 23rd to receive your commemorative Phoenix Flight shirt.
REGISTRANT INFORMATION:
Name:
Address:
City:
State:		Arizona Alabama Alaska Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Email:
Phone:
PCA Member?		Yes No
If 'Yes', PCA Zone:		1 2 3 4 5 6 7 8 9 10 11 12 13
What PCA Region do you belong to?		Arizona Cal Central Coast Cal Inland Grand Prix Golden Empire Las Vegas Los Angeles Orange Coast Riverside San Gabriel Valley San Diego Santa Barbara Southern Arizona Other If "Other" - please specify region:
VEHICLE INFORMATION:
Porsche #1:	Year:
	Model:	select 356 904 906 912 (1965-1969) 912E (1974-1983 G-series) 911 (1965-1977) 911SC (1978-1983) 911R 911 3.2 Carrera (1984-1989) 911 (964) (1989-1993) 911 (993) (1993-1998) 911 (996) (1999-2004) 996 GT2/GT3 (1999-2004) 996 Turbo (2000-2004) 911 (997) (2005-present) 997 GT2/GT3 (2007-present) 997 Turbo 914-4 914-6 924/924S/924 Turbo 928/928S/S4/GT/GTS 930 944/944S/944 Turbo 959 968 Boxster (all) Cayman (all) Cayenne (all) Spyder Abarth
	Body Type:	select Coupe Targa Cabriolet
	Color:
License Plate #:		State:
Registered for (Porsche #1):		Concours Autocross
Concours Class (if applicable):		select Display --Wash & Shine -- W&S-1 W&S-2 W&S-3 W&S-4 W&S-5 --Unrestored-- UR1 UR3 UR4 UR5 UR8 UR9 UR10 --Street-- S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 --Concours-- C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11  Concours class information
Autocross Class (if applicable):		Zone 8 AX class information (see pages 8-11)
Porsche #2:	Year:
	Model:	select 356 904 906 912 (1965-1969) 912E (1974-1983 G-series) 911 (1965-1977) 911SC (1978-1983) 911R 911 3.2 Carrera (1984-1989) 911 (964) (1989-1993) 911 (993) (1993-1998) 911 (996) (1999-2004) 996 GT2/GT3 (1999-2004) 996 Turbo (2000-2004) 911 (997) (2005-present) 997 GT2/GT3 (2007-present) 997 Turbo 914-4 914-6 924/924S/924 Turbo 928/928S/S4/GT/GTS 930 944/944S/944 Turbo 959 968 Boxster (all) Cayman (all) Cayenne (all) Spyder Abarth
	Body Type:	select Coupe Targa Cabriolet
	Color:
License Plate #:		State:
Registered for (Porsche #2):		Concours Autocross
Concours Class (if applicable):		select Display --Wash & Shine -- W&S-1 W&S-2 W&S-3 W&S-4 W&S-5 --Unrestored-- UR1 UR3 UR4 UR5 UR8 UR9 UR10 --Street-- S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 --Concours-- C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11   Concours class information
Autocross Class (if applicable):		Zone 8 AX class information (see pages 8-11)
REGISTRATION FEES			COST (ea.)
Welcome Reception - Friday, November 13, 2009 6:00 - 8:00 pm - No-Host Cocktail Party - Poolside at Carefree Resort & Villas RESERVATIONS REQUIRED
	Qty:	# of persons attending Welcome Reception	No Charge
Zone 8 Concours d'Elegance - Saturday, November 14, 2009 10:00 - 2:00 pm - Car Show and Concours at Carefree Town Center (Sundial Plaza) 6:00 - 8:00 am - Registration (registration closes at 8:00 am) 8:00 - 10:00 am - Staging of cars
Wash & Shine, Unrestored, Street or Concours	Qty:	# of cars entered in W&S, UR, S or C class	$ 50.00
Display	Qty:	# of cars entered in Display Class	$ 25.00
2nd Display	Qty:	reduced rate applies ONLY for 2nd car registered	$ 15.00
Commemorative Phoenix Flight Shirt Shirts must be ordered by October 23rd to ensure shirt availability. T-shirts are available for $20 each. Polo shirts available for $35 each. (NOTE: T-shirt is not included with registration this year.)
Long Sleeve T-shirt:	Qty:	size #1: -- Ladies S Ladies M Ladies L Ladies XL Ladies XXL Mens S Mens M Mens L Mens XL Mens XXL Mens XXXL size #2: -- Ladies S Ladies M Ladies L Ladies XL Ladies XXL Mens S Mens M Mens L Mens XL Mens XXL Mens XXXL	$ 20.00
Polo:	Qty:	size #1: -- Ladies S Ladies M Ladies L Ladies XL Ladies XXL Mens S Mens M Mens L Mens XL Mens XXL Mens XXXL size #2: -- Ladies S Ladies M Ladies L Ladies XL Ladies XXL Mens S Mens M Mens L Mens XL Mens XXL Mens XXXL	$ 35.00
		If needed, please list additional shirt sizes in the notes/comments box below.
Awards Banquet and Charity Auction - Saturday, November 14, 2009 5:30 pm - Cocktail Reception & Silent Auction at Carefree Resort & Villas - Opera House 6:30 pm - Dinner and Awards Banquet
Awards Banquet Tickets:	Qty:	PRIX FIXE MENU (click to view menu)	$ 65.00
Names of Attendees:	enter names for table placards
Zone 8 Autocross - Sunday, November 15, 2009 7:00 - 4:00 pm at Phoenix Municipal Stadium Complete your Autocross registration by visiting the AX web page
Autocross:	Qty:	# of drivers participating in Autocross	$ 45.00
		TOTAL PAYMENT DUE:	$
PAYMENT METHOD: (select one)
Credit Card Check	Credit Card Payments: Accepted via Paypal.com only. CLICK HERE TO PAY Check Payments: Please make check payable to "Arizona Region PCA" and mail to the address above. NOTE: You are not considered "registered" until payment has been received.
Notes/Comments: