USACI Finals Car Show 2010
Class Number: ___________- (____ )
C
lub Affiliation: __________________________________________________Full Name: _______________________________________________________
Address__________________________________________________________
City _____________________________ STATE _______ ZIP ______________
Contact Number (______)_________________ E-Mail ____________________
Vehicle Information
Vehicle Year: ________ Make: ___________________ Model: __________________
License Plate Number: ______________________ License Plate State:__________
Entry fee is $50 for each entry after September 13, 2010 (You can pre-register for $40 using this form). Each entry comes with one two-day pass for the driver. Competitors may purchase additional weekend passes for $10 each. General admission price is $15 per day.
We have set up a PayPal account using the email jlillard@pagerize.com for your convenience.
When completed mail or fax to USACI - 6211 Creekside Lane - League
City, TX 77573 or Fax 281-332-2778
CODE: MTE01