2019 Oriental Classic Car Show

Saturday October 12, 2019
Questions? See orientalclassiccarshow.com or call Sam at 252-249-0228.

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Vehicle Make:
Vehicle Model:
Vehicle Year:
Competing in class: (select)
Entry fee

Entry fee $25 (submitted by Oct 5) $30 late registration
If you'd like to make an additional donation to the Rotary Club enter it here (optional). $ Dollars . Cents
Payment Information

Make check payable to "Oriental Rotary Club."
Mail c/o Sam Myers, 451 Tar Creek Rd, Oriental, NC, 28571
$0

Total