34th Annual - Mid America Ford Meet | Mid America Ford Meet
47th America Ford and Shelby NationalsJune 16th thru 20th, 2021Pre-Event Registration FormRegistration Fees: Participation & Admission to all events is by registration only!!!Event Pass Fees are per person and are your admission to all events, children under 12 free with adult.Name ___________________________________________________________________________________Address ____________________________ City __________________________ State ______ Zip _______Phone __________________________________ Email ___________________________________________EVENT PASS …………..……………………………………………….…______ x $55.00 _________ Hallett Open Track (Must have an Event Pass)Thursday Open Track Fee (Per Driver) ………………………………………_____ x $175.00 ________Friday Open Track Fee (Per Driver) …………………………………….…... _____ x $180.00 ________Drag Races (Per Driver)… (Must have an Event Pass)………………………. _____ x $35.00 _________Show T-Shirts: Adult ___ S ___ M ___ L ___ XL …..……………….……..……. _____ $ 20.00 __________ _____ XXL ______ XXXL _______ XXXXL ………… _____ $24.00 ___________Swap Meet Space (10’ Frontal x 20’Deep) (Must have an Event Pass)…….. _____ X $45.00 __________Please send all fees, checks payable to:Total Paid $_______________________Mid America Muscle Car P.O. Box 57816Oklahoma City, OK 73157PAYMENT METHOD: ? CHECK/M.O. ? VISA ? MASTERCARD EXP. DATE ______? American Express ? DiscoverCARD #_______________________________________List of names pre-registering for:Name on Card _________________________________(So we may prepare name badges in advance.)1. ___________________________________ 2. _________________________________________3. ___________________________________ 4. _________________________________________5. ___________________________________ 6. _________________________________________When you register for the Mid America event, we assume that you understand and agree that you have given your “informed consent” to handle your personal information in a secure manner and that the information provided will never be disclosed to a third party or used for any purpose other than for the registration of the said event.List of Cars Entering in Each Event with Driver’s Name for Open Track or Drag Racing. Name: _______________________________________Car: ____________________________________________Year____________Color______________________ Modified___________ Stock___________Event: Open TrackDrags Name: _______________________________________Car: ____________________________________________Year____________Color______________________ Modified___________ Stock___________Event: Open TrackDrags Name: _______________________________________Car: ____________________________________________Year____________Color______________________ Modified___________ Stock___________Event: Open TrackDrags ................
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