Darryl Starbird Logo

Darryl Starbird's
National Rod & Custom Car Hall
of Fame
Museum

Starbird Car Shows

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)


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