2nd Annual NWA Hot Rod Hundred Registration

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Please complete the following information to register for the 2017 NWA Hot Rod Hundred. Entry fee is $30, per vehicle, and includes 2 lunches. Additional lunches are $7, and T-shirt cost are $15, each. Pre-registration ends May 19, 2017.

Have you participated in one of our Hot Rod Hundred events before? *

Yes

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Cell Phone

Email Address *

Year/Make/Model *

Number of Mouths to Feed *

Payment option (Pre-Registration is $30 plus $7 for any additional meals beyond the first 2) *

I will be mailing a check to CrossMembersCC, 3722 S Forest Ave, Springfield, MO 65807

I will be sending payment via PayPal to CrossMembersCarClub@gmail.com

Questions or comments?

Submit

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