Speedorama

Canadian Street Nationals Registration Form

To respond to your inquiry please fill in the following form. When you are finished press the submit button at the bottom of this page

This application must be accompanied by 3/4 front and 3/4 rear view photographs of aforesaid vehicle. If photographs are not submitted with this application, acceptance by the producer shall be conditioned upon producer's final approval of the vehicle at the time and place of move-in for the show.

*REGISTRATION FEES ONLY APPLY TO CANADIAN STREET NATIONALS

Entry Received	CSRA Members		Non-CSRA Members
By January 28,2007 After January 28, 2007 Single Day Entry*(2) Additional Tickets	$ CDN $25.00$35.00 $20.00 $10.00/ea	$ US $20.00 $28.00 $12.00 $8.00/ea	$ CDN $35.00 $50.00 $25.00 $10.00/ea	$ US $28.00 $40.00 $15.00$8.00/ea

Please Email 2 PHOTOS of Your Car to gary@speedoramacarshows.com

PLEASE CHOOSE THE SHOW YOU WISH TO ATTEND TORONTO CANADIAN STREET NATIONALS
Name:	*	Age:
Address:	*
City:		Prov/State:
P.C./Zip:		Phone:	*
Email:

Year of Vehicle:		Make:
Body Model:

Has body been changed or modified? Yes No

If so, give details:

If other than rod or custom, describe:

Color:		Type of Paint:

Interior:	Original Custom

Engine Make:		Year:
Displacement, Modifications:

Classification (if known):		Club Affiliation:

Describe Display:

Size:	10x10 (Motorcycle) 10x20 (Standard Car Size, One Side View) 20x20 (Walkaround))
Turntable:	Yes No

First time Shown: Yes No

Record of Past Shows:

	* - Required Field

The exhibitor hereby applies to the producer of Speedorama Shows Inc. to have the vehicle described above displayed therein and agrees that, if the application is accepted, he will display the vehicle at the show under the following terms and conditions: