Please Fill Out Form Below, Print It and Send it Via Snail-mail

Model Building Contest Form

Please Read Carefully

Entry Fee is $ 5.00 Per Model Kit. Participants are allowed multiple entries. Awards given to first, second and third place winners in each category. One best of show.

 

 

Vitals

1 Your Name..... 
2 Club Affiliation.
3 Address........ 
4 City............ 
5 State..........  
6 Postal Zip.....  
7 Telephone......   
8 Facsimile......  
9 E-mail......... 

 

Please Select Class Of Choice By Checking The Appropriate Box

100 Roth Cars 200 Roth Monsters
300 Other Monsters 400 Factory Stock Auto
500 Kustom Auto 600 Rat Rods
700 Motorcycles 800 American Low Riders
900 1948-Eariler Street Rods 1000 Curbside/Slammers
1100 All others

All Entries Must Arrive Between 8:00-10:30 am Saturday June 12th 2002 Rain or Shine....  20915 Osborn St. Canoga Park, CA 

Liability Release: By execution of this form, I do hereby release and discharge the City of Canoga Park CA, Ed Roth Estate, Moldy Marvin, Elks Lodge # 2190, West Coast Kustoms, Galpin Ford, Automated Entertainment, Kulture Shoq, The Mutilators Motor Club, and any members or employees thereof for any injuries to myself and all damages that may occur to my vehicle or vehicles while I am participating in Moldy Marvin's 5th annual Rat Fink.Party / Kustom Kulture Extravaganza, Klassic and Kustoms Show Saturday June 12th, 2004.

Signature _________________________ Date ___________ 

Make Checks Payable To:

@utomated Entertainment

P.O. Box 1079
Little Rock, CA 93543

Fax (661) 944-2348

We Also Accept The Following Credit Cards Please Call for More Information and To Make Card Payment

(800) 880-6567 or (661) 944-2299

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Copyright 2000/2001/2002/2003/2004 @utomated Entertainment Little Rock, CA 93543