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1. Personal Information
Email Address
First Name
Last Name
Forum Affliation
Select Forum
lxforums.com
300cforums.com
chargerforums.com
srt8oc.com
Screen Name
Street Address 1
Street Address 2
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Phone Number
2. Vehicle Information
Make and Model
Select Make and Model
Chrysler 300
Dodge Charger
Dodge Magnum
Engine Variant
Select Engine Variant
2.7L
3.5L
5.7L
6.1L
Other
Drive Variant
Select Drive Variant
RWD
AWD
Current Modifications
Future Modifications
3. Participation
Driver:
Saturday Show ($20.00 per car and driver)
Saturday Show and Race ($35.00 per car and driver)
Sunday Show ($20.00 per car and driver)
Sunday Show and Race ($40.00 per car and driver)
Adults (Age 12+)
None
Saturday Only ($10.00 per spectator)
Sunday Only ($13.00 per spectator)
Saturday and Sunday ($20.00 per spectator)
Quantity
Children (Age 6-11)
None
One Day ($5.00 per child)
Two Days ($10.00 per child)
Quantity
Children Under 5 Get Free Admission
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