Car Show Registration Car Show – 2024 Day in the Country Car Show Participant InformationCurrent Date* MM slash DD slash YYYY Participant* Returning Participant New Participant Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Vehicle InformationVehicle Class*Choose Vehicle ClassA – 1930 – OlderB – 1931-1940C – 1941-1950D – 1951 – 1960 (Stock)DD – 1951 – 1960 (Modified)E – 1961-1965 (Stock)EE – 1961 – 1965 (Modified)F – 1966 – 1970 (Stock)FF – 1966 – 1970 (Modified)G – 1971 – 1980 (Stock)GG – 1971 – 1980 (Modified)H – 1981 – 1990I – 1991 – 2000J – 2001 – PresentK – 1953 – 1982 (Corvettes)L – 1983 – Present (Corvettes)M – 1955 – Present (Thunderbirds)N – Street RodsO – CustomsP – 1954 – Older (Pickups)Q – 1955 – Present (Pickups)R – Special InterestS – ImportsT – Rat RodYear* Make* Model* Color* Group InformationGrouping vehicles together requires pre-registration of ALL vehicles. Spaces will be assigned prior to the day of the car show. Please make sure all registrants use the same group name to guarantee you will be grouped together.Are you part of a group?* Yes No Will you want to be next to others in your group? Yes No Group Name All registrants that would like to group together need to use the same group name.Preferred Location Putting in a preferred location does not guarantee that you will get that location.Payment InformationEarly Registration Discount available until 09/14/2024. Any payment mailed or dropped off must be received as of 09/14/2024 to qualify. There will be no refund on any pre-registration as the show will happen rain or shine If you have any questions please email us at rochestercarshow@gmail.com. Payment Method* Credit Card / Paypal Check Cash Registration Payment Price: Early Registration Discount Price: Total $0.00 Payment MethodPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Payments can also be made by Check or Cash. Checks can be mailed to : Rochester Volunteer Fire Company P.O. Box 38 Rochester, WI 53167 Please make the check out to: Rochester Volunteer Firefighter Association Please do not mail cash Cash can be dropped off between 8:00am and 4:00pm Monday through Friday at: Rochester Fire Department 31020 Academy Rd. Burlington, WI 53105 Unique IDCommentsThis field is for validation purposes and should be left unchanged.
