ITASHA CAR REGISTRATION 2018
Completing and submitting this application is not a guarantee of Itasha Car Alley participation. ANIME IMPULSE staff will review and determine your eligibility. If approved, a staff member will send you a confirmation email.
Email address
First Name
Your answer
Last Name
Your answer
Part of a itasha car team?
If you are part of a team, please write the name of your team.
Your answer
Are you above the age of 18?
(This will not restrict you from being part of itasha car alley.)
Address
Your answer
City
Your answer
State
Zip Code
Your answer
Phone
Your answer
Website
start with: http://
Your answer
Instagram
Your answer
Facebook
Your answer
Twitter
Your answer
Does your vehicle contain mature themes?
Vehicle Maker
Vehicle Model
Your answer
Vehicle License Plate Number
Your answer
Vehicle Year
Your answer
Vehicle Itasha Theme
Your answer
If you are bringing something, please select all that apply:
Are you able to bring cars for both days?
Acknowledgement: I understand the general terms and conditions and understand that filling out this application is not a guarantee of convention pass.
ANIME Impulse Itasha Alley is at ANIME Impulse's sole and absolute discretion.
Required
Authorized Submission: By printing your name and submitting this form, I hereby acknowledge that I understand and agree to be bound by both the General Terms and Conditions for ANIME IMPULSE Rules. I further acknowledge that failure to abide by the ANIME IMPULSE Rules may result in the cancellation of my privileges without recourse.
By printing your name below you agree to allow ANIME IMPULSE or its agents and representatives to contact you by phone and/or email to verify information and send special offers regarding ANIME IMPULSE and its shows, services and products.
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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