LIVE MUSIC • DIRT DRAG RACING • VINTAGE MOTORCYCLE PARADE • HOT ROD SHOW • RAT ROD SHOW • BYOB • CAMPING • BONFIRE • SWAP MEET • FOOD • FUN FOR THE ENTIRE FAMILY • KIDS CARNIVAL GAMES •

MINI BIKE RACES • TAILGATE PARTY • CAR SHOW • AND MORE!

For more information, or to register your hot rod or rat rod online, visit:

Remove the registration form below and return via email to entry@midwesthotrodrally.com and/or return via mail with your entry fee payment to: Midwest Hot Rod Rally, P. O. Box 565, Moville, IA 51039

(please use a new entry form for each vehicle entry):

MIDWEST REGIONAL HOT ROD RALLY - ENTRY FORMName:

Number of Vehicle Entries:

Email: Phone: Vehicle Info – Other Interests – Burnout Contest Camping Vendor Booth Swap Meet Sponsorship

( )

Address: City:

Year: Make: Model:

State: Zip Code:

(1) $30(2) $50(3) $70

Add $10 for entries submitted after September 1, 2019

Visit our website for more information about camping, vendor, swap meet & sponsorship registration at www.midwesthotrodrally.com.