32nd Annual
F-100 Western Nationals ENTRY FEE STILL $35.00
$40 for all entries postmarked after June 1st
ONLY ENTRIES POSTMARKED BEFORE JUNE 1st WILL RECEIVE A FREE T-SHIRT
Please make all checks payable and send to: Pickups Limited of Orange County P.O. Box 4631 • Anaheim, CA 92803
Register online at www.pickupslimited.com CONFIRMATIONS WILL BE SENT VIA E-MAIL
For Vendor & Sponsor Information contact: sales@pickupslimited.com or call (657) 464-3115
www.f100westernnationals.com
COMING TO TOWN EARLY? Join us on Friday June 20th for a great cruise around town
2014 ENTRY FORM: Name:____________________________________________ Address: __________________________________________ City: ___________________ State: _______ ZIP: _________ Area Code: ________ Phone: _________________________ E-Mail: ____________________________________________ TRUCK INFORMATION Year: ________ Model: __________ Color: _____________ Club Afiliation: _____________________________________
ORDER FORM: Standard Entry Fee
___ @ $35 = $________
Late Entry Fee - After June 1
st
___ @ $40 = $________
select your FREE shirt when you enter before June 1st S___ M ___ L ___ XL___
NO CHARGE
XXL___ XXXL___ These sizes-$5 extra $5 = $________
Order Additional Short Sleeve Event T-Shirts S___ M ___ L ___ XL___
___ @ $15 = $________
XXL___ XXXL___
___ @ $20 = $________
Prices above are good only for pre-sale clothing items. Day of event prices are $5 more I would love to attend but can’t make it. For an additional $8, please mail my shirt at the address on this form.
$8 POSTAGE = $________
TOTAL $________
PUBLICATION & LIABILITY RELEASE: I hereby consent to the use and publication of any photos in which I or my vehicle may appear, either intentionally or unintentionally in whole or in part. I understand that all photographs are the sole property of Pickups Limited of Orange County and their assignees. Entrants and participants by execution of this entry form, release and hold harmless Pickups Limited of Orange County, Canyon RV Park, Featherly Park, all Vendors, DJ's, Bands and Food Vendors, their officers, directors, employees, agents representatives, and anyone connected with the presentation of the F-100 Western Nationals from any known and unknown damages, injuries, losses, judgments, or claims from any causes what-so-ever that may be suffered by any entrants or participant to his person and property.
NO LOUD MUSIC, ALCOHOL, RACING OF MOTORS, BURNOUTS, BBQ'S OR OPEN CAMP FIRES IN THE SHOW AREA
I HAVE READ AND UNDERSTAND THIS FORM AND WILL ABIDE BY ALL RULES AND STATED RESTRICTIONS SIGNATURE: ____________________________________________________ DATE: _______________________________
Register online at www.pickupslimited.com via Pay Pal or Credit Card