2012 Vettes-4-Vets™
REGISTATION FORM
2012 Memorial Day at the Talladega SuperSpeedway, Talladega, AL
A mail-in version of the form can be downloaded here
Download Form
Registrant Information
First Name:
Last Name:
Enter your Email Address:
Phone Number:
Number in party:
Street:
City:
State:
select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code:
Club Affiliation:
I want to run with club member.
Vehicle Information
Year:
Make:
Model:
As a show of appreciation, we ask drivers who are running extra laps if they would take a veteran, military
person or volunteer with them.
Yes, count me in!
Event Disclaimer
As a participant, I understand and fully agree by payment of my registration fee that I, and my family members and/or my guests who attend and/or participate in the Vettes-4-Vets event completely release Vettes-4-Vets, its directors, members, sponsors, and all other persons and/or entities connected with this event from any damages, injuries, losses, judgments, and/or claims from any cause whatsoever that may be suffered to person(s) or property on or off event premises. All entrants, drivers, and participants must have their vehicle(s) and self properly insured. I further acknowledge by acceptance, that I read and have a complete understanding of the above event disclaimer, and the information contained within the 2012 Talladega Guide posted at www.vettes4vets.org by checking the acceptance box.
I accept the terms and conditions set forth in the disclaimer and the 2012 Talladega Guide.
Anti-Spam Question:
Is ice hot or cold?
Send me a carbon copy of this email.