O’Reilly Auto Parts Autorama, presented by Super Start Batteries November 25-28, 2010
George R. Brown Convention Center
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.
Autorama
Ol' Skool Rodz Entry Fee
$50.00
Bike Entry Fee
$30.00
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?
If So, Give Details:
Color
& Type of Paint
Interior
Type
Describe:
Engine
Make
Describe:
Display
Size
Classification
(if known)
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.
Please print
this form and return it with your payment to:
(make checks payable to: Championship
Auto Shows Inc.)