Dells Area Cruisers Car Club

Vehicle Pre-Registration Form

(a separate entry form must be submitted for each car entered)

$10 Pre-Registered (postmarked by 05/01/07) / $15 Day of Show

 

First Name:   Last Name:   
Address:    
City:             State:   Zip:
Phone (include area code first)    Miles traveled to show:
Club Name:  
Vehicle Info       Vehicle Type     License #       State (if different from above) Auto Truck           Year:   

 Make:   Model:

 

We are giving up to 100 awards in various categories, your vehicle (if chosen) will be assigned to the appropriate category by the selection committee.  There will also be 6 - $100 prizes in the following categories to be presented at the awards ceremony:

Award Category:

Vehicles selected for any of the award categories are done by committee vote and are not done on a point system. All cars will be considered for an award by registering to be in the show.

 

Signature of entrant (required for valid entry) __________________________________ Date: _______

Note: By signing above, you are also agreeing to the Liability Waiver shown below.

 

Please provide an email address if you would like your confirmation emailed to you. Any entries postmarked after 05/01/07 will only be emailed and will not be considered for the pre-registration drawing. If you do not have an email address and do not pre-register by 05/01/07 you will need to come to the registration trailer and show proof of pre-registration.

Email address

 

 

Mail completed information and checks or money orders made out to 'Dells Area Cruisers' to:

 

Dells Area Cruisers

 

S3051 E Fox Hill Road

 

Baraboo, WI 53913

Pre-registration form must be postmarked by May 1, 2007.                                        

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A $100 drawing for the food pantry will be held again this year. To obtain tickets for this drawing to be held at the awards ceremony, you must bring a non-perishable food item for the local area food pantries to be turned in near the registration trailer. One ticket given for each food item.

Last modified: 01/11/2007

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