28th Annual Show On-line Registration Form

Google Maps Directions

Fairgrounds Map

Click Here for Printable PDF Registration Form

*Name:

*Address: *City: *State: *Zip:

*E-mail: *Phone:

Mopar Club Affiliation:

Entry Fee = $20 (Free T-Shirt to first 50 Pre-Entries / T-Shirt Size:

Mail Checks payable to Music City Mopar Club, PO Box 2253, Mt Juliet, TN 37121 or pay via PayPal at Music City Mopar Store under Marketplace tab
*Class : *Year: *Make: *Model:

By entering the event and completing the entry form, I understand the Music City Mopar Club and James E. Ward Agricultural Center will not be liable or responsible for damage, theft, loss of life, or accidents to and from the event and during the Friday and Saturday events. Alcoholic beverages are not allowed on the Wilson County Fairgrounds property. [Reckless driving will not be tolerated.] The Music City Mopar Club reserves the right to evict violators of the above rules. I have read the rules and agree to abide by the requirements.

*Signature: *Date:

*Payment Method: Mail to Club Via PayPal

* - Required fields

       

Saturday Show $20 Per Vehicle

$ _____

Friday Track List Tour $210/Couple
T-Shirt Size -

$ _____

Single or Extra Person - $105

$ _____

Vendor / Swap Meet
None
20x20 = $35
20x40 = $45

$ _____

Car Corral Fee: $10 per Vehicle

$ _____

Total

$ _____

28th Flyer Classes