Cannonball Run Car Show Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
How did you hear about Cannonball Run?
*
Please Select
Facebook
Website
Magazine
Radio
Other
Please Specify
*
Donation Charity
Please Select
CADV
COMC
Dream Factory
Lake West Chamber of Commerce
Laurie Elks Club
Laurie Sunrise Beach Rotary Club
Livabilities
LOWA
Raising Butterflies
Sharing and Caring
Car Classification
Please Select
Antique thru 1949 (except street rods)
Street rod 1920-1948
Stock 50s
Stock 60s
Stock 70s
Stock 80s
Stock 90s
Stock 2000 present
Custom/modified 1950-1969
Custom/modified 1970-1989
Custom/modified 1990-present
Special interest
Trucks stock 4x4
Trucks modified 4x4
Trucks stock 2wd
Trucks modified 2wd
Best Tuner
Big Power/Purpose Built Race Car
What day(s) will you be attending?
Please Select
Thursday 21
Friday 22
Saturday 23
Car Description (Please Include year, make, model and after market parts):
Suggestions if any for further improvement:
$20 entry, First 50 cars receive commentative dash plaque. Special Show Classes: Best in show, best paint, best interior, best engine bay, furthest distance driven, captains choice, youth build (all ages up to 18), attendees Choice
*
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Registration Fee
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
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