Mopars in the Park 2008

Registration form

Name: _____________________________________________Age:__________

Address:_________________________________________________________

City/State:________________________________________________________

Zip:__________________           Car Club:______________________________

Make:________________           Model:________________________________

Year:_________________        Engine:________________________________

Phone:________________       Color:_________________________________

Registering with same car: ___________       Miles driven to show:___________

 PRE-REGISTRATION DEADLINE IS MAY 15th.

Please check all that apply

Dakota County Fairgrounds and Midwest Mopars, Inc., cannot be held responsible for any losses, damages or thefts before, during or after the show. I have read and fully understand the afore-mentioned statement. Conformation notices will be sent out via E-mail or USPS with pre-registration numbers.

Signature and Date:_________________________________________________

Vendors must supply a MN State Sales Tax ID #_________________________

Please send completed form to: Gary Richgruber C/O Midwest Mopars - 9907 Chicago Ave.S - Bloomington, MN 55420