Early Registration only $15.00 per Corvette
Day of Show: $18.00
T-shirt, dash plaque, and door prize ticket with each entry. Add'l t-shirts and tickets will be available at the event. BBQ lunch, cold sodas and water will be available on premises at nominal cost. Lots of awards! Proceeds to benefit Orlando's Russell Home for Atypical Children.

NAME: _______________________________________________________________________

ADDRESS: ____________________________________________________________________

CITY: _____________________________________ STATE: _________ ZIP: ___________

PHONE W/AREA CODE: __________________________________________________________

EMAIL ADDRESS: ______________________________________________________________

YEAR CORVETTE: ____________ BODY STYLE: _____________ COLOR: ________________

SPECIAL EDITION CORVETTE? IF SO, WHICH ONE? _________________________________

MAJOR MODIFICATIONS? ________________________________________________________

_____________________________________________________________________________

T-SHIRT SIZE:    S        M        L        XL      


If paying by credit card (Visa, M/C, Amex only) please complete the following or phone 407-628-8300

CREDIT CARD NUMBER: ________________________________ EXP DATE: _____ / _____

EXACT NAME ON CARD: ________________________________ AMOUNT: $ _____________

SIGNATURE: _________________________________________________________________


Gates open at 8:00 AM. Votes tallied at 2:00 PM. Awards presented around 3:00 PM. Multiple People's Choice and Sponsors' Choice Trophies to be awarded in several categories depending on event participation. Join in the fun!

By execution of this form, entrants and participants release Roger's Corvette Center, its employees, volunteers, and anyone connected with the "Roger's Cruise-In" event from any and all known and unknown damages, injuries, losses, claims or judgements from any cause whatsoever that may be suffered by any entrant to his/her property. Absolutely NO alcohol or mind altering substances other than horsepower allowed on the premises. Everybody play nice!

Make checks payable to Roger's Corvette Center
Return application with registration fee to:
Roger's Corvette Center
ATTN: ROGER'S CRUISE-IN
8675 N. Orlando Ave.
Maitland, FL 32751
For more info visit
our event web site at
www.rogerscorvette.com/cruise-in/
or email webmaster@rogerscorvette.com
or call Roger's at 407-628-8300

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