Vehicle Registration Form - Whitewall Nationals

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REGISTRATION #
Office use only
Date:
July 16th, 2016
Registration and Parking: 6:00 am to 8:00 am
Location:
The Port of Los Angeles Waterfront
Display Time:
9:00 am to 9:00 pm
Outer Harbor Berth 54 – 55
Awards:
TBA
San Pedro, California 90731
Pre-registration fee must be received by June 24, 2016.
Pre-registered participants will receive a goody bag and dash plaque.
Registration on show day at the gate is $60 outdoor only.
Vehicles interested in parking together must arrive together.
Registration fee after the deadline of May 1st, 2015 will be $50 outdoor & $70.
Checks are to be made out to
For general questions you may call 1.800.210.7021 or email
. All calls will be returned within 48 hours.
Whitewall Nationals
Vehicles which are not pre-registered will be accommodated in order of
Mail to or drop off at
check-in at the registration entrance on a space-available basis.
808 9th St.
Vehicles that want to park together must arrive together.
San Pedro, CA. 90731
Pre-registered vehicles will be mailed a receipt/entrance pass and provided
with a separate entrance.
WHITEWALL NATIONALS CAR/BIKE SHOW PRE-REGISTRATION FORM
Pricing will increase May 1st, 2016. All pre-registrations will be closed by June 24th, 2016.
Indoor Warehouse Showcase - $60
Outdoor Showcase - $40
Owner’s Name: ___________________________________________________________________________________
Address: ________________________________________________________________________________________
City: _________________________________________ Postal Code: ___________________
Phone: ______________________________________ Email: ____________________________________________
Make of Vehicle: ____________________________________________________ Year (MUST BE PRE ‘78): _________________________
I accept and assume full liability for any injury or loss to me or my property, agents, guests or employees at anytime and
from any cause on the premises of the show. I expressly release the sponsors, coordinators and their agents from liability
for such loss or injury and agree to provide and pay for my own insurance. I agree to abide to show rules.
Signature (required): _________________________________________________ Date: _________________________
T-Shirt - $20 each Men’s Size
SMALL
MEDIUM
LARGE
X-LARGE
XX-LARGE
Tank - $20 each
Men’s Size
SMALL
MEDIUM
LARGE
X-LARGE
XX-LARGE
Hoodie - $45 each
Men’s Size
SMALL
MEDIUM
LARGE
X-LARGE
XX-LARGE
Trucker Hat - $25 each
Car Show Entry $ ___________________________________________________________________________________
Merchandise $ ___________________________________________________________________________________
Total $ ___________________________________________________________________________________

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