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


Cheques made payable to Mopars in the Mountains.

Anyone wishing to register more than one vehicle, there will be a additional fee of $5.00 per vehicle.