Shriner's Scionfest 2010 Registration Form

Please print and completely fill out form below and mark appropriate boxes. If you are paying via PAYPAL, PLEASE send in all this information when you pay or in a separate email. Address to mail to, is at the bottom of the page. Thanks! Pre-registration is required.

Name:_______________________________________________________
Address:_____________________________________________________
City, State & Zip:________________ ______________________________
Phone #_______________ E-Mail:_________________________________
Model, Year, color: __________________________Class:_______________

Show car: _____Pre-registration $30 includes one gate admission Day of show is $40

Vendor/Swap Meet: Please check the correct spot.