2005 International 190SL Group National Convention 
June 23-26, 2004 - St Louis, Missouri 
Registration Form - Return to St Louis Home

Name: Spouse (other):
Address: 
City: State: Zip: 
Phone (home): (work): (Email)

Number of adult registrations: x $150 ($175 after 4/15)                 $______________
Friday Garden Tour:               x $50                                              $_____________
Number of children (free):                                      Total Remitted: $_____________  

Names for Nametags:  

Which day will you arrive?
Will you be staying at the Double Tree Hotel:   Yes No
Will you be bringing a 190SL?  Yes No
Entering a car in Concours?  Yes No
People's Choice? Yes No

Year:License No.: State:Body Color: Interior Color:

Day Event Number Participating
Wednesday Reception @ 6:00
Thursday Rally 
Rally Lunch
Friday Tech Session @ Museum
Lunch @ Museum
Woman's Garden Tour
Dining (no host)
Saturday Concourse @ Museum
Lunch @ Museum
Woman's Garden Tour
Awards Banquet
Sunday Member Breakfast
Sun Night Jefferson City, MO
Mon Night Branson, MO
Sun-Tue Branson, MO
After inputting your information, you will have the option of submitting your 
Registration Form and paying your Registration Fee online at the Club Store. 

With any questions, please contact: 
Tom Hamilton email: arm1@rochester.rr.com  phone: 585-385-9078 
 For hotel reservations, call the Double Tree Hotel 636-532-5000 ask for "190SL Mercedes Rate"