EmailMe Form - RUN TO THE SUN -- Vehicle Entry Form

EmailMeForm

Name(s) *
First Last
Mailing Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Cell (Preferred)
### - ### - ####
Home
### - ### - ####
Car Club Affiliation
Email Address *

Confirm
T-shirt Size *
1st Vehicle Year *
Enter the vehicle year
1st Vehicle Make *
1st Vehicle Model *
1st Vehicle Color *
1st Vehicle Class *
Enter the vehicle class . Please read all choices. There are Original/Restored, Modified/Street Rod, Truck, and other special classes.
1st Vehicle Fee *
$ Dollars
$120 until 9/30, $130 after 9/30
2nd Vehicle Year
Enter the vehicle year
2nd Vehicle Make
2nd Vehicle Model
2nd Vehicle Color
2nd Vehicle Class
Enter the vehicle class . Please read all choices. There are Original/Restored, Modified/Street Rod, Truck, and other special classes.
2nd Vehicle Fee
$ Dollars
$80 until 9/30, $90 after 9/30
Credit Card Total *
$120 (1 vehicle) until 9/30
$200 (2 vehicles) until 9/30
$130 (1 vehicle) after 9/30
$220 (2 vehicles) after 9/30
Credit Card Type *
Mastercard
Visa
VISA or MASTERCARD *

Card Number

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Comment
Entrants must be 18 years of age. If under 18, Parent or Legal Guardian must sign liability. In consideration of the acceptance of the right to participate, entrants, participants, and spectators by execution of this entry form, release and discharge the Relics & Rods, Inc. of Lake Havasu City, AZ, and their officers, directors, agents, representatives and servants, and anyone else connected with the management or presentation of the Run to the Sun from any and all known damage, injuries or losses, judgements, and/or claims from any cause whatsoever that may be suffered by any entrant to his person or property. Further, each entrant expressly agrees to indemnify all of the foregoing entities, firms, persons, and bodies of and from any and all liability occasioned or resulting from the conduct of any entrant(s), particiipant(s) assisting or cooperating with entrant under the control of entrant. The Club, by and through its President and Chairman of the Run, hereby specially reserves the right to deny entry to the Run to any registrant or guest at any time and for any reason. I further permit the use of activity/event photography and/or video for media promotion. *
Clear
SIGNATURE REQUIRED. USE YOUR MOUSE, FINGER, OR STYLUS TO ENTER YOUR FIRST AND LAST NAME.
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Acadian
Alfa Romeo
AMC
Anglia
Austin
Bentley
Buick
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Chevy
Chrysler
Cobra
Crown
Datsun
De Soto
De Tomaso
Dearborn
Diamond
Dodge
Ferrari
Ford
Gatsby
GMC
Graham
HenryJ
Hillman
Honda
Hudson
Int'l
Jaguar
Jeep
Kaiser
Kenworth
La Salle
Lincoln
Mercedes
Mercury
Metro
MG
Monarch
Morris
Nash
Oldsmobile
Opel
Packard
Peterbilt
Plymouth
Pontiac
Porsche
Rambler
Reo
Rockne
SAAB
Sears
Shea
Shelby
Singer
Studebaker
Stutz
Subaru
Sunbeam
Toyota
VW
Willys

Acadian
Alfa Romeo
AMC
Anglia
Austin
Bentley
Buick
Cadillac
Chevy
Chrysler
Cobra
Crown
Datsun
De Soto
De Tomaso
Dearborn
Diamond
Dodge
Ferrari
Ford
Gatsby
GMC
Graham
HenryJ
Hillman
Hudson
Int'l
Jaguar
Jeep
Kaiser
Kenworth
La Salle
Lincoln
Mercedes
Mercury
Metro
MG
Monarch
Morris
Nash
Oldsmobile
Opel
Packard
Peterbilt
Plymouth
Pontiac
Porsche
Rambler
Reo
Rockne
SAAB
Sears
Shea
Shelby
Singer
Studebaker
Subaru
Sunbeam
Toyota
VW
Willys