February 18th, 2012
8AM to 4PM
Centennial Community Center, 69725 Centennial Park Road
ENTRY FORM ~ $30.00 per vehicle
judging held approximately 2:30 PM
| NAME: |
| ADDRESS: |
| PHONE: |
| Includes one Festival T-Shirt ~ circle size ~ XXXL, XXL, XL, L, M, S |
fill in appropriate information for your entry
| CATEGORY | MAKE | MODEL | YEAR |
| Streetrods | |||
| Rat Rods | |||
| Customs | |||
| Custom Pickups | |||
| Originals | |||
| 1960 and under | |||
| 1960 - 1980 | |||
| 1980 and above | |||
| Unfinished | |||
| Bikes | |||
| Special Interest | |||
| Best of Show | |||
| Everyone Welcome! | |||
WAIVER
By completing this registration and participating in this event, the undersigned, or agent, agrees to HOLD HARMLESS the McMullen Valley Chamber of Commerce, any of it's representative, agents, or volunteers affiliated with the production of this show, for any injuries or damage which may incur while participating in the event.
SIGNED____________________________________________DATE____________________________
Print and mail this entry form with check or money order to:
McMullen Valley Chamber of Commerce - PO Box 700, Salome, AZ. 85348
For more info call 928-859-3846