MOTAA  OPEN CAR SHOW

PRE-REGISTRATION APPLICATION

ANNUAL AUTO SHOW AND SWAP MEET


Please Print, Fill & Mail:

Date:                                                                 Email:                                                           

 

Name:                                                                                                                                      

 

Address:                                                               City:                        ST :           Zip:             

 

Email___________________________________________

Year Make   Model Body Style Class
           
           
           
           
           

Registration Fees:

            Antique Car $15.00                                                                  $                ____

             Second  Car $10.00                                                                $                ____ 

            MOTAA Membership Dues @ 30.00          No.           __   $                ____  Required

                                TOTAL AMOUNT DUE                                   $                 ____

Insurance Carrier                                                                                                    

The decisions of the Head Judge will be final, and no scored judging sheets will be provided to the registrants.

I Hereby release MOTAA and all its members and The Museum Of Automobiles, Inc. from any and all liability.

MOTAA Member No.                                     Signed                                                        

 

Please Print, Fill, & Mail to:

MOTAA
Petit Jean Mountain
8 Jones Lane
Morrilton, AR   72110