Car Registration Form

Thunder on the Plains Car Show Registration Form August 22 - 23, 2008 Levelland, Texas

Fill out the form below print and sign it.
Mail form to: Thunder on the Plains, PO Box 8624, Levelland, TX 79336
Make checks payable to: Thunder on the Plains

Name A value is required.
Address A value is required.
City A value is required.State State
Phone A value is required.Invalid format.
Cell Phone
Club Affiliation (if any)
E-mail Invalid format.
Donation

Poker Run (ONLY)	Friday	7:00 pm	$10.00 per card
Car Show (ONLY)	Saturday	10:00 am - 4:00 pm	$20.00
Cruise (ONLY)	Saturday	5:30 pm - 7:30 pm	$20.00
Burn-Out Contest (ONLY)	Saturday	12:00 noon	$10.00
Early Registration	Car Show & Cruise		$25.00
Day of Registration	Car Show & Cruise		$30.00
		Total

Payment Method:

Credit Card: Exp Date: CCV:

Check

Car Make A value is required.
Car Model A value is required. Car Year A value is required.

Please bring a copy of Liability Insurance - Image #

I plan to stay in (please choose one):
a Levelland Motel
a RV Park
neither

*Classes: Muscle Cars '64 - '73, 1950's Classics '50 - '59, Hot Rod/Street Rod '49 - Back, Customs/Modified '74 - Back,
Originals '74 - Back, Pickups '74 - Back, Sport Cars '74 - Back, New Cars '75 - Present, New Pickups '75 - Present,
Rat Rods, Concourse Class: Generic Class '74 - Back

Entrants, participants, all volunteers, organizers, workers, vendors, and sponsors, by execution of this entry form forever, release and discharge the City of Levelland, Covenant Hospital Levelland, Covenant Foundation Levelland, and Thunder on the Plains Car Show event from any and all known or unknown liabilities, damages, losses, injuries, judgments, and claims from any causes whatsoever that may be suffered by a patron, entrant, participant, guest, or invitees, to her/her person or property.

Signature: ______________________________________________________________