Registration Form
First Name *
Last Name *
Address *
City	State
Zip Code
Phone *
Email *
Class	Select Class 1964 1/2 - 1968 Open 1964 1/2 - 1968 Closed 1964 1/2 - 1968 Modified 1969 - 1970 Open 1969 - 1970 Closed 1969 - 1970 Modified 1971 - 1973 Open 1971 - 1973 Closed 1971 - 1973 Modified 1974 - 1993 Open 1974 - 1993 Closed 1974 - 1993 Modified 1994 - 2004 Open 1994 - 2004 Closed 1994 - 2004 Modified 2005 - 2008 Open 2005 - 2008 Closed 2005 - 2008 Modified
	Cash and checks will be accepted the day of the show. Make all checks payable to Pioneer Ford. Please present registration form the day of the show. Plaques will be presented for Win, Place and Show in all classes.