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"It's A Gas" Car, Truck, Tractor, Small Engine & Motorcycle Show

Pre-Registration Form

Make Checks Payment to:  United Way of Davidson County

Mail Checks to: Williams, 650 Becky Hill Rd., Lexington, NC  27295

Name:

Address:

City, State & Zip Code:

Phone Number:

Email Address:

Member of Club:

Make of Vehicle:

Model of Vehicle:

Year of Vehicle:

Class to Register In:

Liability:  Entrants and participants by execution of this entry form, release and discharge the State of N.C., County of Davidson, Williams, their officers, directors and employees and "It's A Gas" Car, Truck, Motorcycle and Tractor Show from any and all known damages, injuries, losses, judgments and claims from any causes whatsoever that may be suffered by an entrant or participant and his/her property.

      Pre-Registration: $12.00                          Day of Show: $15.00

                                          RAIN OR SHINE

Please print out this form and mail it along with your registration fee to the following address:

Make Checks Payable to: United Way of Davidson County

Williams, 650 Becky Hill Road, Lexington, NC  27295

Signature:

Date:

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