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PRINT THIS FORM and Fill it out
COMPLETELY to be sure that your entry is processed correctly!
THANK YOU.
Wall of Fame Submission Form:
Name:
_______________________________________________________
Address/City/State/Zip:
__________________________________________
Year/Make/Model: ____________________________________________________
Builders Name: _______________________________________________________
Date Built: ___________________________________________________________
(Be sure to include a good 8X10 or negative of the vehicle you are submitting to the
Board). |
| SIGNED
_____________________________________________________________ DATE
__________________
(Owners Signature) |
Mailing Address:
National Rod & Custom Car Hall of Fame Museum
55251 E. Hiway 85A
Afton, Oklahoma 74331
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