Iron County Fair
             
September 2, 2019
Check-in 8 am
Parowan Lion's Park - 200 S. 300 E. Parowan, Utah
Awards Ceremony: 2:30 pm

Owner's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
(Please make sure this is your mailing address)

 
Car Club (if appicable)
 
 
Will your entries be in the Parade?
 
Car Classic Entry Fee:   $25.00   Item Subtotal:  
$25.00
Make of Car
Model of Car
Year of Car
Body Style
Engine
 
Describe any modifications done to your vehicle below:
 
Number of additional cars you are bringing:     Quantity:    
Make of Car [1]
Model of Car [1]
Year of Car [1]
Body Style [1]
Engine [1]
Car Club [1]

Make of Car

[2]
Model of Car [2]
Year of Car [2]
Body Style [2]
Engine [2]
Car Club [2]

Make of Car

[3]
Model of Car [3]
Year of Car [3]
Body Style [3]
Engine [3]
Car Club [3]

Make of Car

[4]
Model of Car [4]
Year of Car [4]
Body Style [4]
Engine [4]
Car Club [4]

Make of Car

[5]
Model of Car [5]
Year of Car [5]
Body Style [5]
Engine [5]
Car Club [5]

Make of Car

[6]
Model of Car [6]
Year of Car [6]
Body Style [6]
Engine [6]
Car Club [6]

Make of Car

[7]
Model of Car [7]
Year of Car [7]
Body Style [7]
Engine [7]
Car Club [7]

Make of Car

[8]
Model of Car [8]
Year of Car [8]
Body Style [8]
Engine [8]
Car Club [8]

Make of Car

[9]
Model of Car [9]
Year of Car [9]
Body Style [9]
Engine [9]
Car Club [9]

Make of Car

[10]
Model of Car [10]
Year of Car [10]
Body Style [10]
Engine [10]
Car Club [10]
Total:
$25.00

Liability Release Form

Entrants and participants by execution of this entry form, release and discharge the State of Utah, Iron County, Iron County Fair, the City of Parowan, their officers, directors, employees, agents, representatives, servants, and anyone else connected with the Labor Day Car Classic from any and all known and unknown damages, injuries, losses, judgements, and/or claims from any causes whatsover that may be suffered by any entrant or participant to his or her property.


I Agree
I have read and agree to the statements above.
Payment Information
Method of Payment:
Processing Fees: Credit cards: 2.5% ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.49
Update name from Owner's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Owner's Information
Cardholder's Name:
Billing ZIP/Postal Code:
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