Car/Bike Owner Name
*
First Name
Last Name
Car/Bike Owner Phone Number
*
Please enter a valid phone number.
Car/Bike Owner Email
*
example@example.com
Car/Bike Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Car/Bike Details
Car/Bike Year
*
Car/Bike Make
*
Car/Bike Model
*
Car/Bike Color
*
Custom Details (if applicable)
Is this a modified vehicle?
Yes
No
If yes, please provide the details about the modifications
Engine size
5.5
5.7
6.0
6.2
7.0
Are you a member of any exclusive car club?
Yes
No
If yes, what is the name of the car club?
Payment Details
Pre- Registration $30 Onsite $40
Payment Method
*
Cashapp $amanicorvetteryders
amanicorvetteryders@gmail.com
Type a question
Ca/Biker Owner Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: