Vehicle Display Participants

Participants Name _______________________________________________________________

Vehicle Description____________________________________________________________

Address _________________________City _________________ State _____Zip_________

Telephone ________________ Cell _______________Cell2 _____________Fax__________

Email ___________________________ Web Page ___________________________________

Any questions, please contact Miguel 678-409-1668 racefst@yahoo.com

I hereby register as a display participant the Annual "Wheels" Car Show at Road Atlanta to be held June 18-20, 2010. I understand that this event is held rain or shine. Registration includes room for one display vehicle and one weekend pass.

Additional passes may be purchased here, please indicate number. For $15.00 per 3 Day Pass 1___2___3___4____

Limited Camping Passes are available for call for details

Please print and email. ---Pay Pal Accepted--- Email to mike@southeastwheelsevents.com,

or fax to 770-277-3989, or mail with payment to: Great American Systems LLC, PO Box 777, Dacula, Ga 30019

June 18-20 Vehicle Entry Fee

1 Vehicle Includes 1 Pass $35.00 1 Vehicle & 2 Passes $50.00 1 Vehicle & 3 Passes $65.00 1 Vehicle & 4 Passes $80.00