6th Annual North Texas Hot Rod Hundred Registration October 12, 2019
Please complete the following information to register for the 2019 Texas Hot Rod Hundred. Entry fee is $25, per vehicle, and includes a T-shirt and lunch. Additional T-shirts are $15.
First Name *
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Last Name *
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Street Address *
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City *
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State *
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Zip Code *
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Email address *
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Cell Phone Number
We will only use this to contact you in case of a scheduling change or other issue.
Your answer
Car Year/Make/Model/Color *
Your answer
T-Shirt Size (included with pre-registration) *
Extra shirts are $15. Please list the sizes of any extra shirts you would like to purchase.
Your answer
Pre-Registration fee is $25, and add $15 for any additional T-Shirts.
You may pay by check and mail, or if you'd rather use PayPal, our address is crossmemberscarclub@gmail.com. You must login to PayPal on your own, this form will not automatically direct you. www.paypal.com
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