JRC Car Registration : JRC Cruise-In Car Show 2022 : JRC

JRC Car Registration

Welcome to the JRC Annual Cruise-In Car Show! - June 17, 2022 4:00 p.m. to 8:00 p.m. - Rain Date June 24.

EVENT SPONSOR - SARTA

SEE BELOW FOR:

REGISTRATION FORM - PRINT PDF AND MAIL

ONLINE REGISTRATION

COMPLETE ONLINE REGISTRATION - BELOW

Registration Fee (Donation) (Required)

$10 advance payment charge

First Name (Required)

Last Name (Required)

Email (Required)

Phone

Address (Line 1) (Required)

Address (Line 2)

City (Required)

State (Required)

Zip (Required)

Car - Year (Required)

Car - Make (Required)

Car - Model (Required)

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Car - Color (Required)

If Club Affiliation Name of Club

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Thank you for your registration fee!

All proceeds from this event go to the JRC Adult Day Center!