MOPARS IN THE MOUNTAINS

  584 3A Street NW

CRANBROOK, B.C.  V1C 6T7

250-426-8811  

 www.moparsinthemountains.com

4th Annual Show & Shine   

 

J U L Y  1 7,  2 0 1 0 

Name: ________________________________

 

 

  Address:______________________City________________Province/State________

 Phone: (       ) _____________________

E-Mail:_____________________________________

 

 

 Year: ___________Make:______________

Model: _______________Colour_____________

 

 

 

 

 

  

 $20.00 registration fee

 

 As a participant in the Annual Mopars In The Mountains Car Show and Shine and any activities held in conjunction with this event:  I hereby release the City of Cranbrook, Mopars In The Mountains and any sponsors affiliated with this event, from any and all claims, actions or damages, without limitation whatsoever which may result from participation in the activities related to Mopars In The Mountains.

 

 

 

 

Dated at ______________This _______day of ____________2010

 

 

 

                                                                               __________________________   
                                                                                     Signature of Participant

 

 

 

                                                                                                                                                                              

please print the registration form above and send it with your payment to:

mopars in the mountains
c/o Donna Stanko
584 3A St. N.W.
Cranbrook B.C.
V1C 6T7


checks made payable to Mopars in the Mountains.