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Register For Grub & Gears
Step
1
of
3
33%
Registration Details
Are you: Register Your Vehicle OR registering as attendee?
(Required)
Please note: Attendance to our car show is FREE. You do NOT need to register. However, you can pre-pay for your meal ticket ($15) through here, if you wish to do so.
Please Select an Option
Registering My Vehicle
Attendee (Pre-Paying for Meal)
How many vehicles are you registering?
Quantity
(Required)
Each vehicle is $30.00. Maximum # of vehicles: 3.
Enter # in quantity field.
Price:
$30.00
Quantity
How many meals are you pre-paying for?
Quantity
(Required)
Each meal is $15.00.
Enter # in quantity field.
Price:
$15.00
Quantity
Contact Details
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
How did you hear about this event?
(Required)
Social Media
Google
Email
Refer a Friend
Past Participant
Word of Mouth
Other
Hidden
Number
Vehicle Registration Details
Year
(Required)
Make
(Required)
Model
(Required)
Color
(Required)
Vehicle #2
Year
(Required)
Make
(Required)
Model
(Required)
Color
(Required)
Vehicle #3
Year
(Required)
Make
(Required)
Model
(Required)
Color
(Required)
Payment Details
Total
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Security Code
Cardholder Name
Release of Liability
(Required)
Your vehicle must be fully insured and licensed. It is also understood, by your participation in this event, that you are accepting full responsibility for any damage, loss, and/or injury of any kind or nature that may result from operation of your vehicle. Further, by your signature and your participation you agree to hold Back to the Bricks®, Inc. and its committee, promoters and sponsoring organizations harmless from any liability which may arise from your participation in this event. This form will remain confidential with the Back to the Bricks® committee.
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