Faith In Motion: Car, Tractor, and Praise Extravaganza Registration Form

Faith In Motion: Car, Tractor, and Praise Extravaganza Registration Form

Date: 09/28/2024
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company/Organization Name
Car Details
Type of Vehicle

CarTruckTractorDrag Car
Car Make
Car Model
Year
Color
Are you a member of any car club?

YesNo
If yes, what is the name of the car club?
How did you hear about our event?

FlyerSocial MediaFriends/FamilyOther
Payment Details
prevnext( X )
Registration Fee
$25.00 Quantity

Total

$0.00
Payment Method

CashCheckCredit Card
If you are paying by check make the check payable to Welcome PFWB Men's Fellowship. If you are paying with a credit card you may go to our church website www.welcomepfwb.com and click on Men's Fellowship under the Giving Tab, or we will have a card reader available on site that day.
Car Owner Signature*

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Date Signed*

MonthDayYear
Date
Should be Empty:

Car Details