2024 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:...$55 / car. QTY:

If you would like to attend the event but are not bringing a car please enter "0", otherwise leave as "1".

$
Early registration discount if PAID by May 17th 2024: ......... $20
$

Addtl Car Fee: $25 / car. QTY:

$
Event T-shirts:$15 ea
S:
M:
L:
XL:
XXL:
$
Friday Reception Quantity: $10/ person
$
Saturday Pizza Lunch Quantity: ..$10 / person
$
Awards Banquet (per person):.. $40 / person QTY:
$
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