2024 Spring Meet
Scott Keith
Email: sakeith@mindspring.com
Phone: 770-815-0552
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance: $500,000.00
With insurance company: State Farm
Policy #: 831 8407-D12-11D
From: October 12, 2015 To: October 12, 2024
Signed: Scott A. Keith
Date: April 20, 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 – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: State Farm
Policy #: 2342990A3033Y
From: January 30, 2024 To: June 30, 2024
Signed: John Krolewski
Date: April 20, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
Doug White
Email: Mcwhite@triad.rr.com
Phone: 336-408-0415
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday Reception – Highland Lake Inn | Qty: 2 | Subtotal: $20 |
| Saturday Scenic Drive | Qty: 2 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 2 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 2 | Subtotal: $170 |
| TOTAL: $225 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Doug White
Year: 1923
Model: SG tourer
Chassis: 29LK
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Hagerty
Policy #: 1121906
From: September 1, 2023 To: September 1, 2024
Signed: Doug White
Date: April 21, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
Millie Horton
Email: millie.horton2@gmail.com
Phone: 8433677250
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance: $250,000.00
With insurance company: Hagerty
Policy #: 2P96383
From: March 6, 2024 To: March 6, 2025
Signed: Millie B. Horton
Date: April 21, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
Richard Coombs
Email: rmhc36@gmail.com
Phone: 8288945636
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday Reception – Highland Lake Inn | Qty: 2 | Subtotal: $20 |
| Saturday Scenic Drive | Qty: 2 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 2 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 2 | Subtotal: $170 |
| TOTAL: $225 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Richard Coombs
Year: 1934
Model: 20/25
Chassis: GYD44
RELEASE STATEMENT
Liability insurance: $100,000.00
With insurance company: Hagerty
Policy #: 5N07793
From: October 15, 2023 To: October 15, 2024
Signed: Richard Coombs
Date: April 22, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
susan wain
Email: stoneimagination@gmail.com
Phone: 9106172547
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Susan Wain
Year: 1991
Model: silverspur ll
Chassis: NAM 35074
RELEASE STATEMENT
Liability insurance: $29,000.00
With insurance company: HAGERTY
Policy #: 4R76707
From: February 17, 2024 To: February 17, 2025
Signed: Susan H. Wain
Date: April 28, 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 – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Martin Mayer
Year: 1993
Model: Brooklands
Chassis: EBP46729
RELEASE STATEMENT
Liability insurance: $500,000.00
With insurance company: Hagerty
Policy #: 7R49903
From: July 21, 2023 To: July 21, 2024
Signed: Martin Mayer
Date: April 28, 2024
Comments:
Payment Method: PayPal
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 – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Martin Mayer
Year: 1993
Model: Brooklands
Chassis: EBP46729
RELEASE STATEMENT
Liability insurance: $500,000.00
With insurance company: Hagerty
Policy #: 7R49903
From: July 21, 2023 To: July 21, 2024
Signed: Martin Mayer
Date: April 28, 2024
Comments:
Payment Method: By Check
Payment status: Pending
Mark Dwyer
Email: mdwyer1@outlook.com
Phone: 9196714637
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Mark Dwyer
Year: 1989
Model: Rolls-Royce
Chassis: SAK25950
RELEASE STATEMENT
Liability insurance: $100.00
With insurance company: Hagerty
Policy #: 4P64365-06
From: July 6, 2023 To: July 6, 2024
Signed: Mark Dwyer
Date: April 29, 2024
Comments:
Mary, The additional $10 included but not shown here is for my Southeast Region name tag. I’ll be happy to pick it up at the meet.
Payment Method: PayPal
Payment status: Pending
Mark Dwyer
Email: mdwyer1@outlook.com
Phone: 9196714637
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Mark Dwyer
Year: 1989
Model: Rolls-Royce
Chassis: SAK25950
RELEASE STATEMENT
Liability insurance: $100.00
With insurance company: Hagerty
Policy #: 4P64365-06
From: July 6, 2023 To: July 6, 2024
Signed: Mark Dwyer
Date: April 29, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
Jeff Trepel
Email: jtrepel1@gmail.com
Phone: 7045199406
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Jeff Trepel
Year: 1950
Model: Bentley
Chassis: B198HR
RELEASE STATEMENT
Liability insurance: $1 million/ $3 million
With insurance company: Hagerty
Policy #: 1N38997
From: June 15, 2023 To: June 15, 2024
Signed: Jeffrey M. Trepel
Date: April 29, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
Mark Meachem
Email: mdmsp1@comporium.net
Phone: 803-242-0985
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday Reception – Highland Lake Inn | Qty: 2 | Subtotal: $20 |
| Saturday Scenic Drive | Qty: 2 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 2 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 2 | Subtotal: $170 |
| TOTAL: $225 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Mark Meachem
Year: 1998
Model: Brooklands R
Chassis: EBW-66133
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Essentia/Hagerty
Policy #: 3P91543
From: December 5, 2023 To: December 4, 2024
Signed: Mark Meachem
Date: April 30, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
SC Gwinn
Email: rgwinn545@gmail.com
Phone: 8436961761
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 2 | Subtotal: $20 |
| Friday Reception – Highland Lake Inn | Qty: 3 | Subtotal: $30 |
| Saturday Scenic Drive | Qty: 3 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 3 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 3 | Subtotal: $255 |
| TOTAL: $330 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Richard Gwinn
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: April 30, 2024
Comments:
John- my Cloud is still in process of being restored and probably will NOT make the event. Wish I could bring it but will most likely be later in May before done. Bodywork is completed but will need to send it on flatbed to Charlotte for some additional work to make her roadworthy. Please let me know if you need anything further from me. We have reserved a cabin next to the pool since bringing our grandson and the Corgi. It’s pet friendly cabin.
Best regards,
Rick Gwinn
Payment Method: By Check
Payment status: Pending
robert atkins
Email: napkins01@bellsouth.net
Phone: 704-560-4098
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday Reception – Highland Lake Inn | Qty: 1 | Subtotal: $10 |
| Saturday Scenic Drive | Qty: 1 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 1 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 1 | Subtotal: $85 |
| TOTAL: $120 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: robert atkins
Year: 1985
Model: silver spirit
Chassis: scazs42a9fcx12990
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: liberty mutual
Policy #:
From: September 18, 2023 To: September 18, 2024
Signed: robert atkins
Date: May 2, 2024
Comments:
Payment Method: PayPal
Payment status: Completed
Thad Champlin
Email: 65.thad@gmail.com
Phone: 8058900100
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday Reception – Highland Lake Inn | Qty: 2 | Subtotal: $20 |
| Saturday Scenic Drive | Qty: 2 | Subtotal: $0 |
| Saturday Lunch – Sierra Nevada Brewery | Qty: 2 | Subtotal: $0 |
| Saturday Dinner – Season’s Restaurant | Qty: 2 | Subtotal: $170 |
| TOTAL: $225 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Thad Champlin
Year: 2020
Model: Flying Spur
Chassis: 079934
RELEASE STATEMENT
Liability insurance: $2.00
With insurance company: Erie Insurance
Policy #: Q042916491
From: April 29, 2024 To: April 29, 2005
Signed: Thad Champlin
Date: May 3, 2024
Comments:
Payment Method: PayPal
Payment status: Completed