2019 Circle City Corvette Beach Caravan

2019 Circle City Corvette Beach Caravan

Registration
Date

Month Day Year
Date
Name - (as you wish it to appear on your name tag) *

First Name Last Name
Spouse/Friend Name - (as you wish it to appear on name tag)

First Name Last Name
Email *
example@example.com

Address *

Phone Number *

Area Code Phone Number
Corvette Club Affiliation
Club Name
Year Of Corvette (Only If Entering Car Show)
Color (Only If Entering Car Show)
Body Style (Only If Entering Car Show)
PAYMENT THROUGH PAYPAL
A. Caravan Options (SEE DESCRIPTIONS ON WEBSITE): *

Option 1 - $150.00 Option 2 - $125.00 Option 3 - $110.00 Option 4 - $ 50.00
1st T-Shirt Size *
(Free With Package)
B. 2nd T-Shirt Size
Additional Cost
C. 3rd T-Shirt Size
Additional Cost
D. 4th T-Shirt Size
Additional Cost
Add totals in A + B + C + D and enter amount here to be paid through PAYPAL *

USD Circle City Corvettes Caravan
When you have everything complete, please click on the SUBMIT button below to submit your registration and make your payment through PayPal.

Thank You!!
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