2021 Northwest Fiero Fest

Registration Form

First Name: Last Name:

Address:

City: State: Zip:

Telephone: Email:

Club Affiliation (if any):

Car Year: Car Model: Mileage:

Classification(see definition of classes):

Registration Costs

Options

Total

Registration Fee:...$45 / car.

$
Early registration discount if PAID by August 15th: ......... $20
$

Addtl Car Fee: $25 / car. QTY:

$
Event T-shirts: $10 each
S:
M:
L:
XL:
XXL: $12 each
$
Friday Reception Quantity: $5/ person
$
Saturday Pizza Lunch Quantity: ..$5 / person
$
Awards Banquet (per person):.. $20 / person QTY: /7-15 Years:..$15 QTY: / 6 & under free
$
Payment Type:
Credit/Debit Card
Check/Money Order

Total:

$


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Page design, layout, and content created by Paul Heindselman, helmet@raceme.cc