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2018 Mopar Car Show Pre-Registration
Event Date: September 15, 2018
Event Location: Fairfield Dodge, Chrysler, Jeep Dealership, Muncy
Event Address: 3360 PA-405, Muncy, PA 17756
Contact Information is on our website www.moparmuscleofcentralpa.com

Note: If you have problems with this form, please call 570-584-4020 to register.

Today's Date *
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First Name *
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Last Name *
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Address *
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City, State, Zipcode *
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Phone Number *
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Year of Vehicle *
Your answer
Make of Vehicle *
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Model of Vehicle *
Your answer
Stock or Modified *
E-mail Address *
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I understand that I do not need to pay now to pre-register for this event and I will be included in a drawing for one of 3 cash prizes. *
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