Registration Form
$15 registration on or before June 5th
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle Details
Make
*
Model
*
Year
*
Is this a modified vehicle?
Yes
No
If yes, please provide the details about the modifications
Signature
Date
-
Month
-
Day
Year
Date
Payment Details
prev
next
( X )
Pre-registration
If registration received on or before June 5, 2025
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Take Me Out to the Car Show t-shirt
T-shirts available for $14 each in adult sizes S - 3X
$
14.00
Size
Quantity
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
XXL
0
1
2
3
4
5
6
7
8
9
10
XXXL
0
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Submit
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