One Day Show Package @ $20 each          __________

Show Special @ $40 all weekend            __________

  20x10 $125 / 20x20 $250 / Swap $75           __________

____ Add'l T-Shirts @ $18 each                __________

T-Shirt Size: S  M  L  XL     __________

T-Shirt Size: XXL & Up @ $20 each __________

Add'l Hot Rod & Harley Drawing Tickets__________

TOTAL ENCLOSED                                    __________

By checking this box, I confirm that I have read the Release and Indemnity Agreement, and fully understand and will comply to all that is stated in the agreement.

Signature______________________________ Date____________

Please make Checks or Money Orders payable to:
International Good Samaritans

Enclose with this completed Registration and Mail to:
Box 7007
Stateline, NV 89449

Please Print out this Form, Fill It Out and Mail with Your Payment to the Address Below!

Submit One (1) Entry Form Per Car, Truck or Bike - Limited to 250 Vehicles (must run)
Trophies Awarded for Winners in Vintage, Chopper, Custom, Touring & Non-Harley Classes (other classes to be added)
Event Open to All Cars, Trucks and Motorcycles - No refunds after June 1, 2010 , 2008
Entries limited & subject to organizer's discretion - Events held Rain or Shine
$70 Special for Both Shows

Rolling Chrome/Tahoe Thunder Custom Car, Truck and Motorcycle Show

Name:___________________________________________________________ Entry No.

Address:___________________________________________________ Work Phone:___________

City/State/Zip:_____________________________________________Home Phone:___________

Email Address:_______________________________________________

VEHICLE INFORMATION: Year_______ Make___________ Model___________ *Must carry liability insurance

If vendor, list all "for sale" items (must be 25% motorcycle related)_________________________________

_____________________________________________________________________________________