Please Fill Out Form Below and Send It In With Your Payment

Open to Pre 1973 Vehicles Only Please (No year limit on special Interest vehicles, and Kustom Built, Bikes)

Please Read Carefully

Vehicle Show Entry Form

1 Make..

 

2 Model..  

 

3 Year.. 

 

Vitals
1 Your Name..... 
2 Club Affiliation.
3 Address.......
4 City............ 
5 State
6 Zip
7 Fone
8 Fax
9 E-mail...
If paying by Credit Card Please put your information below
Credit Card Number
EXP.

 

 

 

 

 

 

 

 

 

 

 

Please Select Class Of Choice By Checking The Appropriate Box

 

100 Stock 1900-1934 200 Modified 1900-1934 & T-Buckets
300 Modified 1900-1934 Old School Chopped, Channeled, etc. 400 Stock 1935-1948
500 Modified 1935-1948 600 Stock 1949-1959
700 Modified 1949-1959 Old School Lowered, Chopped Etc. 800 Stock 1960 - 1972
900 Modified 1960 -1972 Lowered etc. 1000 Sports Car All
1100 Truck Stock All 1200 Truck Modified All
1300 Muscle Car All 1400 Special Interest/Kustom No year Limitation
1500 Custom Car 1940-Up 1600 VW All
1700 Station Wagon  1800 Delivery, Van
1900 Hearse, Ambulance, Service Vehicle 2000 Under Construction All Must Be Der'ivable

2100  "Hot Rod Race"  Note: This is class for cars as long as it was built to be raced. Body Style has to be either Kustom or Pre 1973 Can be Street legal. 

2200  "Kit Car or Reproductions"  Note: This class for Kit Cars or Reproduction cars.  Body Style has to be either Kustom or Pre 1973 

2300 Motorcycle  2400 Motorcycle Special interest  (No Year Limit For Self Built or Kustom)
2500 Trike all( No Year Limit For Self Built or Kustom) 2600 Side Car ( No Year Limit For Self Built or Kustom)
2700 Scooter (No Year Limit For Self Built or Kustom) 2800 MiniBike (Stock)
2900 MiniBike (Self Built or Kustom) 3000   Bicycles (No Year Limit For Self Built or Kustom)
Tow Vehicle / Motor Home & Trailer Add $ 20.00 # Additional; Passengers Add $ 7.00 each

Total Entry 

$

All Entries Must Arrive Between 12:00-2:00 pm Saturday July 8th 2006 Rain or Shine Los Angeles County Raceway!

6850 East Avenue T, Palmdale, CA. 93550

This form must be signed and dated!

Your Vehicle registration will allow you race your Vehicle down the Drag Strip as long as it passes tech. This will be Time only heads up drag racing.

Liability Release: By execution of this form, I do hereby release and discharge the City Of Palmdale CA, Ed Roth Estate, Moldy Marvin, L.A.C.R., Automated Entertainment, Kulture Shoq, The Mutilators Motor Club, and any show sponsors or members or employees thereof for any injuries to myself, my passengers and all damages that may occur to my vehicle or vehicles while I am participating in 7th annual Rat Fink.Party / Kustom Kulture Extravaganza, Klassic and Kustoms Show Saturday July 8th, 2006.

Signature _________________________ Date ___________ No Out Side Alcohol, Burn Outs and Flame Throwers in Designated areas only!

Make Payment to:

Automated Entertainment

P.O. Box 1079, Littlerock, CA 93543

Questions? Call

(800) 880-6567 or (661) 944-2299 Fax (661) 944-2348

Copyright 2000/2001/2002/2003/2004/2005/2006 @utomated Entertainment Little Rock, CA 93543