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
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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