Registration form MUST INCLUDE a minimum of TWO (2) color photographs (in display if possible), one front 3/4 view and one rear 3/4 view. NO exceptions.
Please
print this form and return it with your payment to:
( make checks payable
to: C.A.S.I )
Chris Webb
3626 N.E. Bentley Circle
Kansas City, MO 64116
(816) 682-1534 cwebb8@kc.rr.com
Kansas City - 2012
Motorama Entry Form February 10-12, 2012
Please
fill out this form completely, print and mail to
the address below AS SOON AS POSSIBLE. Please submit your application early to assure
acceptance, as space is limited and we are sure
to sell out.
My
Entry will require an electrical outlet (Fee paid
at move-in)
You
must select an option(s) below to enter the show.
World of Wheels
Motorama
Entry Fee
$50.00
TOTAL ENCLOSED
Name
Age
Day
Phone
Eve.
Phone
Email
Address
City
State
/ Prov.
Zip
Year
of Vehicle
Make
Body
Model
Has
the Body Been Changed or Modified?
Display
Size
Will
Your Entry Be Part of a Club Display?
Club Name:
Move In Time Preference
________________________________
_____________
Signature
Date
(if
exhibitor is under 18 years of age, parent or
guardian must sign for exhibitor.) I agree to
the rules and regulations stated herin.