Registration
Thank You
Thank you for registering for the meet. Your registration information is listed below. If your registration information didn't appear, refresh your screen to display it. If you need further assistance with your registration, please contact the meet host Carl Fox at 404-277-3373 or carlos.fox@comcast.net.
Lynn Putnam
Email: lynnputnam88@gmail.com
Phone: (615) 957-3461
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday – Reception at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 2 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: November 25, 2025
Comments:
Payment Method: By Check
Payment Status: Pending
John Kennard
Email: jkennard@whiteoaksllc.com
Phone: 502-558-3821
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday – Reception at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 1 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 0 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 1 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: November 22, 2025
Comments:
Payment Method: By Check
Payment Status: Pending
Scott Keith
Email: sakeith@mindspring.com
Phone: 770-815-0552
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday – Reception at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 2 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: November 21, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed
Mark Meachem
Email: mdmsp1@comporium.net
Phone: 803-242-0985
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday – Reception at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 1 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 1 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 1 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Mark Meachem
Year: 1952
Model: MkVI
Chassis: B86PV
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Hagerty
Policy #: 3P91543
From: December 5, 2025 To: December 5, 2026
Signed: Mark Meachem
Date: November 20, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed
Mark Dwyer
Email: mdwyer1@outlook.com
Phone: 919 671 4637
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday – Reception at Westin Poinsett | Qty: 0 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 0 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 0 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 0 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 0 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Mark Dwyer
Year: 1989
Model: Silver Spirit
Chassis: SAK25950
RELEASE STATEMENT
Liability insurance: $250,000.00
With insurance company: Essentia (Hagerty)
Policy #: 4P64365
From: July 6, 2025 To: July 5, 2026
Signed: Mark T. Dwyer
Date: November 20, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed
Comer Train
Email: ctjrmail@gmail.com
Phone: 4044326781
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday – Reception at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 1 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: November 20, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed
Graham Davenport
Email: davenport9773@charter.net
Phone: 8647108269
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday – Reception at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 2 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Graham Davenport
Year: 1998
Model: Brooklands R
Chassis: EBW66100
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Hagerty
Policy #: 7r13614
From: July 1, 2025 To: July 1, 2026
Signed: Graham Davenport
Date: November 17, 2025
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 at Westin Poinsett | Qty: 0 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 1 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 1 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 0 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: November 14, 2025
Comments:
Not driving PMC
Payment Method: PayPal
Payment Status: Completed
John Witherington
Email: jdmw@mac.com
Phone: 9198247676
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 0 | Subtotal: $0 |
| Friday – Reception at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 1 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 1 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 1 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: John Witherington
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance: $300,000.00
With insurance company: Hagerty
Policy #: 9N74654
From: February 18, 2025 To: February 18, 2026
Signed: John Witherington
Date: October 26, 2025
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 at Westin Poinsett | Qty: 0 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 0 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 0 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 0 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 0 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: October 23, 2025
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 at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 2 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Thad Champlin
Year: 2022
Model: Bentayga
Chassis:
RELEASE STATEMENT
Liability insurance: $1.00
With insurance company: Erie Insurance
Policy #:
From: To:
Signed: Thad Champlin
Date: October 23, 2025
Comments:
We are currently on a tour and are traveling between Williamsburg VA and Washington DC. I do not have all the registration info with me but will complete everything at the event.
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 Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 1 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 1 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 1 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance:
With insurance company:
Policy #:
From: To:
Signed:
Date: October 22, 2025
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 at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 0 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
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, 2025 To: October 15, 2026
Signed: RICHARD COOMBS
Date: October 21, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed
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 Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 1 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 1 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 1 | Subtotal: $0 |
| TOTAL: $25 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Martin Mayer
Year: 1955
Model: S
Chassis: B145LAP
RELEASE STATEMENT
Liability insurance: $500,000.00
With insurance company: Hagerty
Policy #: 7R49903-00
From: July 21, 2025 To: July 21, 2026
Signed: Martin Mayer
Date: October 21, 2025
Comments:
Payment Method: By Check
Payment Status: Pending
Doug White
Email: mcwhite29lk@gmail.com
Phone: 3364080415
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday – Reception at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 2 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name: Doug White
Year: 1926
Model: SSG. Salamanca Special
Chassis: S263PL
RELEASE STATEMENT
Liability insurance: 300,000/ $600,000.00
With insurance company: Hagerty
Policy #: 1121906
From: September 30, 2025 To: September 30, 2025
Signed: Doug White
Date: October 21, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed
Carl Fox
Email: carlos.fox@comcast.net
Phone: 4042773373
Spouse/Partner/Guest Names
| Registrants | Qty: 1 | Subtotal: $25 |
| Guests | Qty: 1 | Subtotal: $10 |
| Friday – Reception at Westin Poinsett | Qty: 2 | Subtotal: $0 |
| Saturday – Board Meeting at Westin Poinsett | Qty: 1 | Subtotal: $0 |
| Saturday – Lunch at New Realm Brewery | Qty: 2 | Subtotal: $0 |
| Saturday – Drive and Shop Tour | Qty: 0 | Subtotal: $0 |
| Saturday – Dinner at Nose Dive | Qty: 2 | Subtotal: $0 |
| TOTAL: $35 |
Rolls-Royce or Bentley Motorcar information:
Owner’s Name:
Year:
Model:
Chassis:
RELEASE STATEMENT
Liability insurance: $1,000,000.00
With insurance company: State Farm
Policy #: CR007009
From: January 1, 2025 To: December 31, 2025
Signed: Carl Fox
Date: October 21, 2025
Comments:
Payment Method: PayPal
Payment Status: Completed