 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Special Show Awards |
|
|
|
Best of Show People's Choice |
|
|
|
NAPA Choice Hard Luck Award |
|
|
|
Farthest Traveled |
|
|
|
Dash Plaques (First 75 Registrants) |
|
|
|
50/50 Raffle Door Prizes |
|
|
|
Spectator Parking Located at Ultimate Goal |
|
|
|
Mail completed form and payment to : |
|
|
|
Joe Hicks |
|
|
|
5446 Lockwood Rd |
|
|
|
Auburn NY, 13021-8110 |
|
|
|
Pre Registration $8.00 |
|
|
|
At the Gate $12 |
|
|
|
*registration ends at noon |
|
|
All proceeds go to: |
|
|
|
|
|
|
Cash Or MoneyOrder Only Please No Personal Checks!! |
|
|
|
|
 |
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------- |
|
|
|
Name: ____________________________________________________ |
|
|
|
Address: __________________________________________________ |
|
|
|
City: _________________ State_____ Zip Code___________________ |
|
|
|
Phone Number: (____)____________ Club Affiliation: _____________ |
|
|
|
Vehicle Information |
|
|
|
Model________________________ Make:___________________________________ |
|
|
|
Year __________________ Class: (circle one) Street Rod Custom |
|
|
|
Classic/Anitque Truck |
|
|
|
Total Enclosed:_____________________________ (Cash/Money Order ONLY) |
|