Printable ORDER FORM for Moparfest 2010
Fill in the form, print and mail or fax Pre-registration form valid until August 1, 2010
Show dates: August 21 & 22, 2010  (rain or shine) which includes vehicle & 2 people for the weekend
-NO PETS ALLOWED ON THE GROUNDS-
Pre registered 1986 & older are eligible to win the 1979 Lil Red Express.

Pre registered  Vehicle (if you have more vehicles or the vehicles have different owners please note this on the back)

Year ___________________

Make  _____________________

Model  _____________________

OCC Club  Members $30.00 each  (SPECIAL PRICE FOR CURRENT OCC MEMBERS ONLY)    $ ____________________
Non OCC Club Members $35.00 each                                            $ ____________________

New Hamburg Optimist Tickets on the 2010 Challenger  (tickets can only be purchased in & mailed to Ontario)

Quantity of Tickets

Total Spent

Single Ticket at $5.00 each

# _________

$ _________

Set of 5 tickets at $20.00 a set

# of sets _________

$ _________

Spectators Prices Per day — Saturday or  Sunday (Kids 12 & under are free with a paid adult) Can be purchased at the gate for $10.00 per day

OCC Auto Club  Membership Information   
New Members and renewals $30.00 per year (ending in July) (12 months)  $  __________

Vendor Registration

Preregistered Prices

 Each 20' x 20' Booth

$85.00

 Row End 20' x 20' Booth

$115.00

 Cross Row End 20' x 20' Booths
(2 booths back to back on the end of a row)

Sold Out

Each 12' x 12' Booth No Vehicles or Trailers allowed in these Booths

$50.00

 Track-side 20' x 20' Booths

Sold Out

Billing, mailing & delivery info:

NAME: ______________________________________________________________________

ADDRESS: ____________________________________________________________________________________________

CITY: ____________________________ PROV/STATE: ________ COUNTRY: ______  POSTAL/ZIP CODE: _____________

PHONE: (_______)_______________________       EMAIL ADDRESS: _____________________________________________

METHOD OF PAYMENT MasterCard Visa

Name of the person on the Card: ___________________________________________________

Card Number: ___________________________________  Expiry Date: ____/____ Amount to charge to my card:  $__________

Fill in the order form, print it off and mail it with cheque or International money order.   Must be over 18 years of age, vehicle & participant must be present to win. Winner is responsible for pick up of prize in New Hamburg, Ontario. Liability: Neither the Producer, the Sponsors nor any Official or Shareholder thereof, or the owner of the premises at which the show is produced shall be responsible or liable for any loss or injury to all or any part of the vehicle or participant or vendor and the participant or vendor does herby waive any and all rights he may have against him or any of them for such loss or damage. O.C.C. Auto Club Inc. is an authorized user of these /Chrysler Corp. trademarks

Make cheques (checks) payable to: Moparfest

Mail to: Moparfest    57 Pinehurst Cres.,   Kitchener, Ontario Canada   N2N 1E3
Phone:   519-342-1284      Fax:  519-342-1285  Email: moparfest@rogers.com  web: www.moparfest.com