Custom Classic Corvette Club 10th Annual Car Show and Shop Registration Form
Date: October 10, 2025 - 10AM until 4:00 PM
Car Owner Name
First Name
Last Name
Car Owner Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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
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?
Payment Details
Credit Card Only
My Products
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Registration Fee
Registation
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Credit Card
Payment Method
Credit Card
Car Owner Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: