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75th Austin-Healey Anniversary Meet Registration
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75th Austin-Healey Anniversary Meet Registration
75th Austin-Healey Anniversary Meet Registration
HM2027 Registration Form
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Registrant Information
Primary Registrant's Name
*
Primary Registrant's Name
First Name
First Name
Last Name
Last Name
Primary Registrant's name as it should appear on their on their name badge
Primary Registrant's name as it should appear on their on their name badge
First Name
First Name
Last Name
Last Name
Primary Registrant's Email
*
Please enter your email twice to confirm your email is correct. If you get an error message saying your email is not unique you have already registered.
Confirm Primary Registrant's Email
*
Primary Registrant's Phone
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Primary Registrant's Billing Address
*
Primary Registrant's Billing Address
Primary Registrant's Billing Address
Primary Registrant's Billing Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Included Guest's Name
Included Guest's Name
First Name
First Name
Last Name
Last Name
Included Guest's name as it should appear on their on their name badge
Included Guest's name as it should appear on their on their name badge
First Name
First Name
Last Name
Last Name
Included Guest's Email
Please enter your guest's email twice to confirm their email is correct.
Confirm Included Guest's Email
Club Affiliation
*
5 - International
7 - AHCA (National Member)
AHCUSA (Austin Healey Club USA)
AL - Alabama AHC
C1 - Bluewater/Sarnia AHC
C2 - AH Club of S Ontario
C3 - Quebec Chapter AHC
C4 - AHC of Manitoba
CA1 - Golden Gate AHC
CA2 - AHC of San Diego
CA3 - Austin-Healey Assoc of Southern California
CO - Rocky Mountain
DC - Capital Area AHC
FL1 - AHC of Central Florida
FL2 - Pensacola
FL3 - St. Johns AHC
FL4 - Tampa Bay AHC
FL5 - Palm Beach Austin Healey
FL6 - Paradise Coast
GA - Atlanta AHC
IL1 - Central Illinois AHC
IL2 - Midwest AHC, Inc.
IN1 - Central Indiana AHC
IN2 - Northern Indiana AHC
KS - AHC of Kansas City
KY - Bluegrass Austin-Healey Club, Inc.
MI - Southeast Michigan AHC
MN - Minnesota AHC
MO - Gateway AHC, Inc.
NB - Modified Healeys (Nasty Boys)
NC1 - Carolinas AHC
NC2 - Triad AHC
NE - Flatwater AHC
NER - AHC of New England
NM - AH Roadrunner Club
NY - Niagara Frontier AHC
OH1 - Miami Valley AHC
OH2 - Mid Ohio AHC
OH3 - North East Ohio AHC
OH4 - Ohio Valley AHC
OK - Oklahoma AH Owners Club
OR - Austin Healey Club of Oregon
SC - Low Country Austin Healey Club
SPB - Sportsboat
TN1 - Middle Tennessee AHC
TN2 - Smoky Mountain AHC
TX1 - Gulf Coast Healey Club
TX2 - North Texas AHC
TX3 - South Texas Austin-Healey Club
UT - Bonneville AHC
VA - Tidewater Assoc of Classic Healeys
WI - Wisconsin Chapter
Other
Club Affiliation
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