Yacolt Classic & Custom
August 17th, 2024 Please Arrive between 9am-10am. First 100 cars will receive an exclusive participant gift bag. (First 100 cars, 1 per participant)$25 registration fee will be due at event. Cash only please.
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
Company/Organization Name
Car Details
Car Make
Car Model
Year
Color
Current Mileage
Is this a modified vehicle?
Yes
No
If yes, please provide the details about the modifications
Are you a member of any exclusive car club?
Yes
No
If yes, what is the name of the car club?
Pre-Registration
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Registration Fee
Pre-register and get a Participant Gift Bag(First 100 cars to register). Payment taken at day of event. Cash Only Please.
$
25.00
Quantity
1
2
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9
10
Product Name
$
Free
Quantity
1
2
3
4
5
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9
10
Car Owner Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
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