1st Annual River Car Show Registration Form
Date: 09/21/2024 - 9am-1pm
ADDTIONAL INFORMATION
Saturday, September 21st 2024 Admission Free to the Public Car & Truck Entry Fee: $10 People’s Choice & Pastor’s Choice Awards 10516 Mehaffey Rd. Midland, GA Doors Open: 9 A.M. - 1 P.M. Food, Music, Children’s Entertainment Proceeds Benefit The Ellerslie Volunteer Fire Department For More Info Call 706-570-2584 In the event of bad weather, the car show will be moved to Sept 21st.
Car Owner Name
*
First Name
Last Name
Car Owner Phone Number
*
Please enter a valid phone number.
Car Owner Email
*
example@example.com
Car Owner Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Car Details
Car Make
*
Car Model
*
Year
*
Color
*
Do you have additional vehicles to register?
Please Select
Yes
No
Car Make
*
Car Model
*
Year
*
Color
*
Do you have additional vehicles to register?
Please Select
Yes
No
Car Make
*
Car Model
*
Year
*
Color
*
Do you have additional vehicles to register?
Please Select
Yes
No
Car Make
*
Car Model
*
Year
*
Color
*
Do you have additional vehicles to register?
Please Select
Yes
No
Car Make
*
Car Model
*
Year
*
Color
*
Payment Details
Payment Method
Cash
Credit Card
Debit Card
PayPal
Event Registration Fee CASH PAYMENT $10 per vehicle
Please Select
1
2
3
4
5
6
7
8
9
10
If registering more than one vehicle, please select above.
Credit Card/Debit Card/Paypal Registration
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Event Registration Fee
If registering more than one vehicle, please select below.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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