Registration

Southeast Region of the Rolls-Royce Owners' Club
2024 Late Summer Meet
Roswell, Georgia
September 6-8, 2024

Thank You

See your registration information below

Thank you for registering for the meet. Your registration information is listed below. If you need further assistance with your registration, please contact the meet host Carl Fox at 404-277-3373 or carlos.fox@comcast.net.

Please mail a check payable to Southeast Region RROC to:
Carl Fox
12865 Heydon Hall
Roswell, Georgia 30075

mike pusateri

Email: mapusateri@protonmail.com
Phone: 4042468881

Spouse/Partner/Guest Names

peggy pusateri

Registrants Qty: 1 Subtotal: $25
Guests Qty: 1 Subtotal: $10
Friday – Reception at Fox’s Home Qty: 2 Subtotal: $80
Saturday – Atlanta British Car Fayre Qty: 1 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 0 Subtotal: $0
Sunday – Savoy Automobile Museum Qty: 1 Subtotal: $0
    TOTAL: $115

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: michael pusateri
Year: 1978
Model: silver shadow II
Chassis: SRG34095

RELEASE STATEMENT
Liability insurance: $500,000.00
With insurance company: auto-owners
Policy #: 47-043-337-01
From: June 1, 2024 To: December 1, 2024
Signed: mike pusateri
Date: August 21, 2024

Comments:
Payment Method: PayPal
Payment status: Completed


Brian Mackey

Email: mmgatl@msn.com
Phone: 4043729342

Registrants Qty: 1 Subtotal: $25
Guests Qty: 0 Subtotal: $0
Friday – Reception at Fox’s Home Qty: 1 Subtotal: $40
Saturday – Atlanta British Car Fayre Qty: 0 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 0 Subtotal: $0
Sunday – Savoy Automobile Museum Qty: 0 Subtotal: $0
    TOTAL: $65

Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:

RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: August 19, 2024

Comments:
Payment Method: PayPal
Payment status: Completed


Philip Carroll

Email: carlos.fox@comcast.net
Phone: 4042773373

Spouse/Partner/Guest Names

Pualani Carroll

Registrants Qty: 1 Subtotal: $25
Guests Qty: 1 Subtotal: $10
Friday – Reception at Fox’s Home Qty: 2 Subtotal: $80
Saturday – Atlanta British Car Fayre Qty: 2 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 2 Subtotal: $180
Sunday – Savoy Automobile Museum Qty: 0 Subtotal: $0
    TOTAL: $295

Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:

RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: August 14, 2024

Comments:

Guests of Carl Fox

Payment Method: PayPal
Payment status: Completed


BRUCE WOOD

Email: bwood@hiltonheadcp.com
Phone: 8043501338

Spouse/Partner/Guest Names

BRUCE WOOD

Registrants Qty: 1 Subtotal: $25
Guests Qty: 1 Subtotal: $10
Friday – Reception at Fox’s Home Qty: 1 Subtotal: $40
Saturday – Atlanta British Car Fayre Qty: 1 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 1 Subtotal: $90
Sunday – Savoy Automobile Museum Qty: 1 Subtotal: $0
    TOTAL: $165

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: BRUCE WOOD
Year: 2013
Model: BENTLEY
Chassis: SCBFU7ZA3DC084700

RELEASE STATEMENT
Liability insurance: $250,000.00
With insurance company: USAA
Policy #: 019023693G71015
From: April 4, 2024 To: October 4, 2024
Signed: B. BRENNER WOOD
Date: August 9, 2024

Comments:
Payment Method: PayPal
Payment status: Completed


Kirk Stevenson

Email: kirkstevenson1@gmail.com
Phone: 4044082000

Spouse/Partner/Guest Names

Laura Stevenson

Registrants Qty: 1 Subtotal: $25
Guests Qty: 1 Subtotal: $10
Friday – Reception at Fox’s Home Qty: 0 Subtotal: $0
Saturday – Atlanta British Car Fayre Qty: 1 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 2 Subtotal: $180
Sunday – Savoy Automobile Museum Qty: 1 Subtotal: $0
    TOTAL: $215

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Kirk Stevenson
Year: 1936
Model: 25/30
Chassis: GXM81

RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Hagerty
Policy #: 9P06600
From: May 31, 2024 To: May 31, 2025
Signed: Kirk Stevenson
Date: August 7, 2024

Comments:
Payment Method: PayPal
Payment status: Completed


John Krolewski

Email: jkrolew@msn.com
Phone: 7045628088

Spouse/Partner/Guest Names

Registrants Qty: 1 Subtotal: $25
Guests Qty: 0 Subtotal: $0
Friday – Reception at Fox’s Home Qty: 1 Subtotal: $40
Saturday – Atlanta British Car Fayre Qty: 0 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 0 Subtotal: $0
Sunday – Savoy Automobile Museum Qty: 0 Subtotal: $0
    TOTAL: $65

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: John Krolewski
Year: 2018
Model: Mercedes
Chassis: SL450

RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: State Farm
Policy #: 2342990A3033Y
From: July 1, 2024 To: December 31, 2024
Signed: John Krolewski
Date: August 5, 2024

Comments:
Payment Method: PayPal
Payment status: Completed


Lynn Putnam

Email: lynnputnam88@gmail.com
Phone: 6159573461

Spouse/Partner/Guest Names

Derrick Dishner
JD Damon
Cindy Damon

Registrants Qty: 1 Subtotal: $25
Guests Qty: 3 Subtotal: $30
Friday – Reception at Fox’s Home Qty: 4 Subtotal: $160
Saturday – Atlanta British Car Fayre Qty: 4 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 4 Subtotal: $360
Sunday – Savoy Automobile Museum Qty: 4 Subtotal: $0
    TOTAL: $575

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Lynn Putnam
Year: 1988
Model: Silver Spur
Chassis: SCAZN02A0JCX24034

RELEASE STATEMENT
Liability insurance: $40,000.00
With insurance company: Hagerty
Policy #: 4P68828
From: July 1, 2024 To: July 1, 2025
Signed: Lynn Putnam
Date: August 1, 2024

Comments:
Payment Method: By Check
Payment status: Pending


Martin Mayer

Email: mmayer110@netzero.net
Phone: 3342643046

Spouse/Partner/Guest Names

Registrants Qty: 1 Subtotal: $25
Guests Qty: 0 Subtotal: $0
Friday – Reception at Fox’s Home Qty: 1 Subtotal: $40
Saturday – Atlanta British Car Fayre Qty: 1 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 1 Subtotal: $90
Sunday – Savoy Automobile Museum Qty: 1 Subtotal: $0
    TOTAL: $155

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Martin Mayer
Year: 1955
Model: S1
Chassis: B145LAP

RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Hagerty
Policy #: 7R49903
From: July 21, 2024 To: July 21, 2025
Signed: Martin Mayer
Date: July 29, 2024

Comments:
Payment Method: By Check
Payment status: Pending


Carl Fox

Email: carlos.fox@comcast.net
Phone: 4042773373

Spouse/Partner/Guest Names

Marla Fox

Registrants Qty: 1 Subtotal: $25
Guests Qty: 1 Subtotal: $10
Friday – Reception at Fox’s Home Qty: 2 Subtotal: $80
Saturday – Atlanta British Car Fayre Qty: 2 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 2 Subtotal: $180
Sunday – Savoy Automobile Museum Qty: 2 Subtotal: $0
    TOTAL: $295

Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Carl Fox
Year: 1954
Model: Bentley
Chassis: B132XF

RELEASE STATEMENT
Liability insurance: $500,000.00
With insurance company: Hagerty
Policy #: 2227719
From: December 1, 2015 To: December 3, 2024
Signed: Carl Fox
Date: July 22, 2024

Comments:
Payment Method: PayPal
Payment status: Completed


Scott Keith

Email: sakeith@mindspring.com
Phone: 770-815-0552

Spouse/Partner/Guest Names

Laura Lovell

Registrants Qty: 1 Subtotal: $25
Guests Qty: 1 Subtotal: $10
Friday – Reception at Fox’s Home Qty: 1 Subtotal: $40
Saturday – Atlanta British Car Fayre Qty: 2 Subtotal: $0
Saturday – Dinner at Milton’s Cuisine Qty: 2 Subtotal: $180
Sunday – Savoy Automobile Museum Qty: 2 Subtotal: $0
    TOTAL: $255

Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:

RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: July 21, 2024

Comments:
Payment Method: PayPal
Payment status: Completed