5th Annual Southern Colorado Mopar Festival and 1st Annual Rocky Mountain LX Meet, May 30, 2009 at Pikes Peak International Raceway, Fountain, Colorado, Sponsored by Pueblo Dodge Chrysler Jeep
Move-in time: 7:00 A.M. Show Time: 9:00 AM – 3:00 P.M. Awards: 3:00 P.M.
(Please print legibly and fill in all blanks, address must be complete to receive your entry confirmation by mail) PRE-REGISTRATION IS STRONGLY ENCOURAGED
Name ______Phone ______
Address ______
City/State/Zip ______
Mopar Club Affiliation ____________
ENTRY FEE: $25.00 for either show. Entry fee includes 2 show passes, T-shirt, goody bag, and a dash plaque. Additional entries are $10, even if you enter both shows,and will receive a dash plaque. Extra show passes, 16 or older, are $5 each.
Use this form for both shows
After each entry, please circle MF for the Mopar Festival or LX for the Rocky Mtn. LX Meet
Entry #1: Year: _____Make: ______Model: ______MF or LX
Entry #2: Year: _____Make: ______Model: ______MF or LX
Entry #3: Year: _____Make: ______Model: ______MF or LX
If you are entering the Mopar Festival, only 1 entry per owner is eligible for a Top 25 Award. All entries are eligible for Best of Show and sponsored awards.
If you are entering the LX Meet, only 1 entry per owner is eligible for an Award of Excellence. All entries are eligible for Best of Show and sponsored awards.
Anyone, who pre-registers by May 9, 2009, can choose his or her T-shirt size. Thereafter, only XL T-shirts will be available. 2X-Large shirts are available for an extra $2.00, additional T-shirts are $9.50 each (pre-entry price only).
Please choose a T-shirt size: Small Medium Large X-Large 2X-Large
Primary Entry (includes: T-shirt, dash plaque, and goody bag) _____1_____ X $25.00 $25.00
Additional Entries (includes dash plaque) ______X $10.00 ea. $______
Additional T-shirts or 2XL T-shirts, show passes $______
Total Amount Enclosed: $______
Will you be attending the cruise & lunch to the McCandless State Veterans Home in Florence, CO? Y or N
Please go to: detailed Host Hotel information and activities schedule. For more information contact: Jim @ 719-561-4587 or Tony @ 719-660-4781
LIABILITY WAIVER: Applicant agrees to hold harmless the Southern Colorado Mopar Festival, Pikes Peak International Raceway, Pueblo Dodge, Host Club, its Members and any volunteers from and against any claim that might or does arise out of participation in this event. Alcohol will not be permitted at this event.
SIGNATURE: ______(Must have signature of parent or guardian if under 18) SEND ENTRY & CHECK PAYABLE TO: SOUTHERN COLORADO MOPARS – P.O. Box 3341, Pueblo, CO 81005-3341