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Liability
Release: By execution of this form, I do hereby release and discharge the Executive
Committee of the Mutilators Motor Association World Wide World Wide, Automated Entertainment, aeclassic.com and any members or employees thereof for any injuries to myself and all damages that may
occur to my vehicle or vehicles while I am participating in any club event physical or virtual.
Signature
_________________________ Date ___________
Send To: Mutilators Motor Association World Wide
C/O Automated Entertainment P.O. Box 1079 Little Rock,CA 93543 (800) 880-6567 or (661) 944-2299 Fax (661) 944-2348
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