5th Annual Wisconsin Hot Rod Hundred Registration - May 15, 2021
Please complete the following information to register for the 2021 Wisconsin Hot Rod Hundred. Entry fee is $30, per vehicle, and includes lunch for 2. Additional lunches are $8/ea and additional T-shirt cost are $20/ea.
NOTE: This is a rain or shine event, no refunds for no-shows. For those that can't make it, we'll do our best to get the shirts to you, but if you don't come and get it, there is a good chance you'll just have to wait 'til next year.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Cell Phone
Your answer
Year/Make/Model
*
Your answer
TShirt size (included with pre-registration)
*
Choose
Small
Medium
Large
XL
XXL
3X
4X
Additional T-Shirt sizes (list quantities and sizes, please)
Your answer
Number of Mouths to Feed
*
Your answer
Payment option (Pre-Registration is $30, and add $8 for each additional meal beyond the first two and $20 for each additional T-shirt)
*
I will make a check payable to CrossMembersCC, and mail it to Bret Chrismer, CrossMembersCC, 3722 S Forest Ave, Springfield, MO 65807
I will be sending payment via PayPal to
CrossMembersCarClub@gmail.com
(Please be sure to note which event and entry your paypal payment is for)
Questions or comments?
Your answer
Disclaimer
This is a rain or shine event, no refunds for no-shows. For those that can't make it, we'll do our best to get the shirts to you, but if you don't come and get it, there is a good chance you'll just have to wait 'til next year.
A copy of your responses will be emailed to the address you provided.
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