First Name

Last Name

Email Address

Telephone

Mobile?

Land Line?

Circle One

Accepts Texts

Yes

No

Car Entering

Manufacturer

Model

Circle One

Stock

Modified

Color

Year

I have read all the rules for the show and understand what my responsibilities are before, during and after the show concludes.  I agree to all stipulations.  I understand that all prizes are peoples choice and I will abide by the judges decisions regarding ties.  I understand that I will recieve an email confirmation of my entry.  Cancellations and refunds will be granted up to one month before the show as all trophies are ordered in advance according to pre-registrations.  Make checks payable to Rancho Murieta Kiwanis and note that it is for Wheels and Wings.  Kiwanis is a fully tax deductable foundation.  Mail completed entry form and total amount to:  

Wheels and Wings, 6406 Orilla, Rancho Murieta, California, 95683

Entry Fee $25

T-shirt size $25 Each

Small

Medium

Large

XLarge

Total

Signature

Date

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N/A

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