Mount Shasta On-line Registration Form

Mount Shasta On-line Registration Form

Must be received by July 3rd, 2018

Asterix fields (*) are required inputs

*Name:

*Guest Names:

*E-Mail Address:

Phone Number: (including area code):

*Street Address:

*City:

*State:

Country:

Roadster Info

***Refer to the "How to decide what class your car should be in" page***

*Model Year: This may or may not match the year of manufacture. Example: 311's made in late '68 may in fact be sold as a 1969 model.
*Model Type: The SRL's were first produced as 1967 models. 67.5's are 1600 models. All early Datsuns are welcome.
Classification:

Costs:

Full Registration: $55.00 (includes Awards Diner, Car Registration, Show 'n Shine, Dash Plaque, Ice Cream Social, Welcome Reception and Voting Rights)

*Full Registration

*Additional Dinner Tickets # @ $25.00 ea adult

*Additional Dinner Tickets # @ $12.50 ea child

Participant Registration:(no car) $35.00 (includes Awards Diner, Car Registration, Show 'n Shine Voters Rights, Dash Plaque, Ice Cream Social, Welcome Reception and Voting Rights)

Participant Registration

Awards Dinner Only: $25.00 ea;$12.50 ea child(10-14yrs)

Dinner Only

Car Registration Only: $20.00 ea

Show 'n Shine

Late Registration Fee: $10.00 ea

Late Fee

*Grand Total Due

Please submit payment by check make check payable to Mt Shasta Roadster Meet. Mail to Mount Shasta Datsun Roadster Meet, 8337 Quail Spring Way, Sacramento, CA 95829

To our Canadian friends - Registration due by 7/3/18, fees payable at Mt. Shasta.


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