On Line Registration for Judged Car Show
Contact Information:
Name:
Street Address
City:
State:
Zip:
Email address:
Phone:
Work Phone:
Select Event
16th Columbus Chrysler Classic
May 16-18
4th Curt George Memorial
June 20-22
2nd Chrysler Classic at US 131
July 19-20
2nd Chrysler Classic at Route 66
August 23-24
15th Norwalk Chrysler Classic
September 14-16
Judged Car Show
Includes
1
weekend admission for car & driver
Judged Car Show
- $45.00
Qty.
Additional Weekend Passes
Additional Weekend Pass
Qty:
Vehicle Info
Vin #
Year - Make - Model - Body Style - Special Options:
Describe what options the vehicle has, indicate if factory installed or added by ownership.
Number of years owned by current owner
When was vehicle restored
Who did the restoration work
Other Cars in your garage
Has this Car been Judged at a CC Event before, if so when and where?
Club Affiliation
Club official or event organizer
Club Contact
Club address
Club e-mail address
Club Web Site
Payment Information
Type of payment: Credit/Debit Card
Type:
VISA
MasterCard
Card Number:
Expiration Date:
(eg. 02/09)
