Pre-register

PRE-REGISTRATION DUE BY AUGUST 10
Fill out the form below. Or, you may also CLICK HERE to download and print a registration form and mail to:
Tim Brubaker
687 Monte Vista Dr.
Emmett, ID 83617

$25 Pre-Register

$40 Day of Show

Miss Deuces Wild Pin-Up Girl Contest Registration Form

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

MAKE *

MODEL *

YEAR *

SIZE OF T-SHIRT (INCLUDED in Pre-Registration Price) *

Additional T-SHIRT (Optional: $10, OR $20 DAY OF SHOW) *

PAYMENT OPTIONS (please choose from the drop down menu) *

TERMS & CONDITIONS *

YES, I ACCEPT TERMS & CONDITIONS

Comment (Optional) *

Submit Registration

PRE-REGISTER

$25 Pre-Register

$40 Day of Show

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