Lone Star Lug Nuts Registration

 

FIRST 100 PRE-REGISTERED WILL RECEIVE A FREE T-SHIRT!!!

Pre-registration must be postmarked by: March 1, 2010  

 

4^th ANNUAL “EARLY BIRD SHOW”

 

MARCH 26,27^th 2010 Rain or Shine!!!  

Located at the City Park in Kilgore , Texas (downtown)

 

Hosted by the LONE STAR LUG NUTS Car Club

Benefiting the

Percy R. Johnson Burn Foundation Youth Camp: “I’m Still Me”

Registration begins at 6:30 P.M. Friday at the Whataburger Cruise, and continues until 10:00 A.M at the Park, Awards at 3:00 P. M.

Top 25 Choice Awards

Best of Show Car & Truck; Sponsor’s Choice;   Ladies Choice;   Club Choice; Percy Johnson Choice

 And Many More Special Awards. Arts & Crafts Show Downtown

  Door Prizes; 50/50 Pot; Wipe-Out Board; Food and Music Galore, and More

 

For information contact:

 

     Travis Brewer              Sonyea Reeves                   Brian Grice

                                                      903-343-1675               903-235-2553                     903-738-7282

                                                                    brewjax1@cebridge.net     Sonyear07@aol.com            briangrice@darrlift.com

                                                               

                                                                    

Registration Fee: Car Show  $25.00              

                                                                             – Make check payable to Lone Star Lug Nuts

Mail to: 804 N. Doma Street , White Oak , TX 75693

Attn: Marylin Morris 903-759-2686

Email Address:________________________________________________________

(do you prefer to be contacted by email or regular mail: email ____   regular ____)

Confirmation of registration sent by email only

 

Name: ____________________________________________________________________      

 

Address: __________________________________________________________________       

 

City: __________________  State : _____  Zip: __________  Phone # _________________

    

Year ­­­­_____ Make _________________ Model ____________________________

 

Club _____________________________________________

 

T-shirt Size:  M ___  L ___  XL ___  2XL ____      Extra Shirts   $15 each for M -  XL       $18 each for 2XL or larger

 

Total amount enclosed: ____________________

 

In consideration of the acceptance of the right to participate, entrants, participants and spectators, by execution of this form, release and discharge the Lone Star Lug Nuts, The Percy Johnson Burn Foundation, and the City of Kilgore, representatives and anyone connected to the management or presentation of The Early Bird Show from any loss, damage, or injury to persons, vehicles or any articles while attending and participating in the Early Bird Show.  I accept full responsibility for damages to me, my family or visitors. If unable to attend, no monies will be refunded. By signature below I agree to let pictures of myself and my car be used for publication.

 

 

________________________________                                           __________________ 

        Signature                                                                                           Date