PRE ENTRY ONLY STOCK (0-6 Minor Changes)

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DATE: Saturday, October 30, 2021 TIME: 8 AM - 4 PM (Registration 8 am - 11 am) LOCATION: 9903 Gulf Coast Main St., Ft. Myers, Florida 33913 Just Off I-75 and Alico Rd. (Exit 128)

Send registrations and checks to PREMIUM P.O Box 11546, St. Petersburg, Florida 33733For more information, call (727) 455-5969 or www.premiumcarshows.com

AUTOMOTIVE SHOW REGISTRATION FORMPLEASE PRINT

(one only)

PHONENAME

ADDRESS CITY

MAKE/MODEL OF VEHICLE

CLUB AFFILIATIONYR COLOR

E-MAIL for MAILING LIST for COTGIt is agreed that all persons who enter for exhibition and competition purposes in the show will abide by the rules setforth by the show management. It is also agreed that neither the show producer nor the owners of the grounds in whichthe show is held, shall be responsible to me for personal injury, damage or theft of any part of my entry or display.Rain or Shine - No Refunds

ST ZIP

GCTC 10-30-21

51. STOCK52. MODIFIED

25. 1900 - 194026. 1941 - 195027. 1951 - 196028. 1961 - 196929. 1970 - 197530. 1976 - 198531. 1986 - 199332. 1994 - 200033. 2001 - 200834. 2009 - 201335. 2014 - 201836. 2019 - Pres.

STOCK (0-6 Minor Changes)

FOREIGN

AWARDS:*Dash Plaques to the First 100 *2 Best of Shows in each class (108 awards) *26 Overall Best of Show by divisionFor more imformation call: Larry 727-455-5969Or visit our website at: www.premiumcarshows.comJUDGED SHOW by Premium Auto Enthusiasts

Signed

37. 1900 - 1932(ST. ROD)38. 1933 - 1940(ST. ROD)39. 1941 - 1948(ST. ROD)40. 1949 - 195841. 1959 - 196942. 1970 - 198243. 1983 - 199044. 1991 - 199645. 1997 - 200046. 2001 - 200447. 2005 - 200848. 2009 - 201349. 2014 - 201550. 2016 - Pres.

MODIFIED (7+ Changes)

53. STOCK54. MODIFIED

MOTORCYCLE

RAIN or Shine RAIN or Shine

Location: Go 1/2 mile east of I-75 (Exit 128 Alico Rd.)Turn right onto Ben Hill Griffin Pkwy, go 1/2 mile.Turn right into Gulf Coast Main Street, follow signs.

14. 1953 - 1962 C115. 1963 - 1967 C216. 1968 - 1982 C317. 1984 - 1990 C418. 1991 - 1996 C419. 1997 - 2004 C520. 2005 - 2009 C621. 2010 - 2013 C622. 2014 - 2016 C723. 2017 - 2019 C724. 2020 - Pres. C8

MODIFIED(7+ Changes)

01. 1953 - 1962 C102. 1963 - 1967 C203. 1968 - 1982 C304. 1984 - 1990 C405. 1991 - 1993 C406. 1994 - 1996 C407. 1997 - 2000 C508. 2001 - 2004 C509. 2005 - 2008 C610. 2009 - 2013 C611. 2014 - 2017 C712. 2018 - 2019 C713. 2020 - Pres. C8

STOCK (0-6 Minor Changes)

For Vendor Spots call Larry - 727-455-5969

CREDIT CARD by WEDNESDAY 6:00 P.M. before the show

NO REFUNDS - RAIN OR SHINE

RESTAURANTS ARE IN THEIMMEDIATE AREAVENDORS50/50 By Corvettes on the GulfTo Benefit Local Charities

2

8 a.m. to 11 a.m.

(2) 32” HDTV’S to be given away at the show

45 PRE ENTRY ONLY

OPEN SHOW TO ALLMAKES and MODELS

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