Moton Family Challenge: Car, Truck and Bike Show Registration Form
Please complete the information below. Please note that the name and title you provide will be printed on the participants list as such.
Name *
Your answer
Organization
Your answer
Phone *
Your answer
Address (to also include city, state and zip) *
Your answer
Email Address
Your answer
Vehicle Make *
Your answer
Vehicle Model *
Your answer
Vehicle Year *
Your answer
Entry Fee (entry fee will increase to $20.00 after June 29, 2018) *
By submitting this form I understand that the Moton Museum is not responsible for any injuries, accidents, damages, and theft, which may occur to myself and/or vehicle at this event. I will adhere to the rules and regulations laid out by the museum staff and Car Show Coordinators. Additional forms will be signed onsite. Mail Payment to: Robert Russa Moton Museum, P.O. Box 908, Farmville VA 22427. In the subject line please identify Moton Family Challenge Car, Truck, and Bike Show *
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