Registration Form
$15 registration on or before June 3
Name
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First Name
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Phone Number
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Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
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Vehicle Details
Make
*
Model
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Year
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Is this a modified vehicle?
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If yes, please provide the details about the modifications
Signature
Date
-
Month
-
Day
Year
Date
Payment Details
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My Products
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next
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Pre-registration
If registration received on or before June 3, 2024
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Take Me Out to the Car Show t-shirt
T-shirts available for $12 each in adult sizes S - 3X
$
12.00
Size
Quantity
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
XXL
0
1
2
3
4
5
6
7
8
9
10
XXXL
0
1
2
3
4
5
6
7
8
9
10
Card Information
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