MID-IOWA ANTIQUE POWER ASSOCIATION, INC.

2373 JESSUP AVE

PO BOX 1475

MARSHALLTOWN, IA 50158

EXHIBITOR REGISTRATION FORM

 

 

NAME:  __________________________________________________________________________________

 

ADDRESS:  _______________________________________________________________________________

 

                     _______________________________________________________________________________

 

EMAIL ADDRESS ___________________________________________

 

 

ITEMS:                                                                                          PARADE                 FOR OFFICE USE ONLY

                                                                                                        YES / NO                               PARADE #

     

MAKE:  ______________________________________               _______                               ____________

          

MODEL ______________________________________

 

YEAR    ______________________________________

 

COMMENTS:  _________________________________

 

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MAKE:  ______________________________________             _______                                ____________

 

MODEL ______________________________________

 

YEAR    ______________________________________

 

COMMENTS:  _________________________________

 

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MAKE:  ______________________________________            _______                                   ____________

   

MODEL ______________________________________

 

YEAR    ______________________________________

 

COMMENTS:  _________________________________

 

______________________________________________

 

MAKE:  ______________________________________            _______                                      ____________

 

MODEL ______________________________________

 

YEAR    ______________________________________

 

COMMENTS:  _________________________________

 

 

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Please print this form and fill in your information and send to P.O. Box 1475, Marshalltown, Iowa 50158     (Please send this form by July 24, 2019 for advanced registration)