Show-Shine-Ride For Taylor

August 14, 2010

Hooter's Restaurant

  1001 Bullsboro Road

Newnan, GA  30263

 Motorcycle Registration Form

 PHOTOS WILL NOT BE RETURNED. ONLY ONE MOTORCYCLE PER ENTRY FORM! Thank you!

GOOD QUALITY PHOTOS NEEDED - PLEASE REVIEW ALL INFORMATION BEFORE COMPLETING ENTRY FORM

 Send this entry form, check or money order, along with 2 good photos of your vehicle to: 

To Serve Him.com, LLC, c/o Pamela Manley   120 Brookfield Drive Stockbridge, GA  30281 (678)725-0695

No motorcycle will be considered for acceptance unless photos, entry fee and application are enclosed with your entry mailing. If you cannot send photos, please call Pamela Manley (678)725-0695 with explanation.

ENTRY FEE:

Motorcycles - $20 Pre-Reg.    Day of Show - $25  

ENTRY DEADLINE: August 14, 2010

Make Checks or money orders payable to:

To Serve Him.com, LLC

attn: “Show-Shine-RIde for Taylor” event

120 Brookfield Drive

Stockbridge, GA  30281

TOTAL enclosed: $ ___________

Name __________________________________________________________ Age _________

Telephone (      ) _________________

Address ________________________________________________________

E-Mail ___________________________________________

City ____________________________________________State ____________ Zip _______

Year of Motorcycle _____________ Make ________________

Model _____________________________

Engine Make _______________ Cubic Inch ___________

Induction System ________________________

Frame Modifications ____________________________________________________________________________

Suspension _____________________________________________________________________________

Transmission ______________________________________ Drive______________________________________

Upholstery____________________________________________________________________

Body Modifications ____________________________________________________________________________

Body paint colors _____________________________________________________________________________  

 DISPLAYS:

All displays are 10’ x 10‘ unless otherwise requested. If requesting a Special Size 20’ x20’ Display please describe: _____________________________________________________________________  

Display Size Needed  _______X________

1. The Producer (To Serve Him.com LLC) of the Show(s) has the final authority to the location of all displays.

2. When a vehicle and/or display is set up for the Show(s), they cannot be removed until the end of the show without permission of the Producer.

3. To Serve Him.com, LLC, Hooter's Restaurant (Show Facility),show judges and show personnel may not be held responsible for theft of, or damage to, vehicles or any artifacts on display.

4. Exhibitor agrees to obtain insurance covering exhibitors vehicle, trailer, display and all materials used to display the vehicle. The exhibitor assumes full responsibility for any loss or damage.

5. Upon signing this entry form you agree that you have read all the above information and fully understand it's content. The owner, spouse and guests agree to allow The Producer the use of their names and photos for publicity, advertising and commercial purposes before, during and after the event without compensation to the exhibitor.

6. Entry Fees are non-refundable unless written notice is received via fax or email 14 days prior to the show.

Classify your vehicle on the bottom of this form!

Signed _______________________________________________________

(Exhibitor) (If under 18 years of age, parent or guardian must sign as exhibitor)

Date _________________________

For Office Use Only:

Tow Info:________________ Classification:__________________

Show Number:_________________

Show Location:

Hooter's Restaurant

1001 Bullsboro Road

Newnan, GA  30263

Entry Category: (please choose one)

______ 1. Stock

______ 2. Custom

______ 3. Radical

______ 4. Antique/Restored

______ 5. Drag/Road Race

Back to Flyer