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1970s Muscle Car Showdown September 19, 2015 • Grove Civic Center --LIMITED TO FIRST 50 CARS--


REGISTRATION FORM Owner Information


Name: _____________________________________________________________________________________ First


Last


Mailing address:_____________________________________________________________________________ City:_____________________________________ State:___________________ Zip_____________________ Phone number:_____________________________ Email:___________________________________________ Car club affi liation (if any):_____________________________________________________________________


___________________________________________________________________________________________ Car Information


Make:________________________________________________ Model:_____________________ Year:_______ Engine size:_________________________________________________ Transmission:_____________________ Additional information: _______________________________________________________________________


___________________________________________________________________________________________ Participant Agreement


This car show is open to any 1970s (1970-1979) model muscle cars (American-made cars and pick-ups with powerful engines designed for high-performance driving).


Rules • Judges will not touch your car or open doors, hood or windows • A registra on mirror hanger will be sent to you in the mail and will be required to access the lot in front of the Grove Civic Center. This will have your car’s number and should be displayed from the rear view mirror or on the driver’s side dash. Number must be visible through the windshield


• Conver ble tops may be up or down • The hood should be open • Windows down • If you have a trunk, have it open • Car must be in place by 7:30 a.m.


What we are looking for • Originality – Wheels, Paint, Interior, Glass, Engine Compartment • How much  me and e ort did an owner go through to get the car ready to show


• History • TROPHIES to be awarded for 1st, 2nd, & 3rd places; all par ci- pants receive dash plaque


Completed registration MUST be received no later than September 9, 2015. NO EXCEPTIONS.


By comple ng this registra on and par cipa ng in this car show, I signify agreement and compliance with the following: • I am aware of the risks inherent with motor vehicle events and am voluntarily par cipa ng at my own risk. • I agree to assume all risk of injury, property damage, the and loss that might occur when traveling to or par cipa ng in this car show. • I agree to release Northeast Oklahoma Electric Coopera ve, its employees, trustees, agents, and volunteers from all liability. • Northeast Oklahoma Electric Coopera ve reserves the right to revoke registra on, if the par cipant begins engaging in reckless or danger- ous behavior.


• I agree to allow Northeast Oklahoma Electric Coopera ve to use my name, and any photos taken of me and my car during the event, for marke ng or publicity.


• I hereby cer fy my car is insured to meet Oklahoma’s legal liability requirements.


Signature______________________________________________________________ Date:__________________________


Mail or fax your completed registra on to:


12 - NE Connection


Roxann Wilson NEOEC P O Box 948 Vinita OK 74301


OR


A n: Roxann Wilson 918-256-9379


Car # assignment Ques ons? Roxann - 918-256-9323 NEOEC Use Only Print all information





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