Car Show Registration Form

Saturday, April 2, 2011

Special Awards - “Overall Best of Show” (All entries eligible), Best Paint, Best Theme, Most Chrome, Best Original, Best Interior, Best Custom Car, Best Custom Truck, Best Restoration

Name/Owner: __________________________________________________________________________

Address: __________________________________________________________________________

City/State/Zip: __________________________________________________________________________

Telephone (Day): _____________________ (Evening):___________________________

(Cell): ________________________________ Email: ______________________________

___________________________________________________________________________

Vehicle Information – Open to all years American & Foreign – Cars & Trucks

Year: _________________ Make: _________________

Model: ________________ Color: __________________

Special or Unique Feature or History of Vehicle:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

$25 per car.

Method of payment:      Check     Money Order     Discover     MasterCard      VISA

Card # _______-________-________-__________Exp. Date: ___________________

Name on Card: ____________________________________________________________________

Signature: ____________________________________________________________________

No Refunds or Transfers after April 15, 2009

Activities Include – Great Car Show – Yard Sale (Friday & Saturday) –  Food &  Live Bands – Kids Jumping Area

For More Information,

Please Call Glen Kimbrel at (770) 877-2573 (cell)

Or White UMC at (770) 386-8990