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Click Here for Printable PDF Registration Form

*Name:

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

*E-mail: *Phone:

Mopar Club Affiliation:

Standard Entry Fee = $30     V.I.M. Fee = $100

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

*Entry Type: Standard Entry V.I.M.

* - Required fields           


           



Saturday Show $30 Per Vehicle
or
V.I.M. Pkg. = $100

Vendor / Swap Meet
20x20 = $35

20x40 = $45



Car Corral Fee: $10 per Vehicle