USACI Finals LOCAL CLASS Registration 2010
Full Name: _____________________________________________________
Address________________________________________________________
City ____________________________________ STATE ____ ZIP _________
Contact Number (______)___________________________
Please fill in the
information below to enter chosen class.
We have allowed this entry form to accommodate people that wish to enter
in 1 or more classes:
Vehicle Information:
Year:_____________ MAKE___________________ Model_____________________________
RMS Power____________________________
Amplifiers (Brand and Power) ________________________________________________
Woofers (Brand and Power) __________________________________________________
Entry fee is $40 for first entry and $30 for each
additional entry. List ALL additional classes on rear. Secure Trailer
Parking is $100 for the entire event.
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