Truck Display Registration

Your Details

Name:

Company:

Phone Number:

E-mail Address:

Mailing Address:

City:

State:

Zip code:

Tractor Details

Tractor Year:

Tractor Make:

Tractor Model:

Tractor Color:

Trailer Details

Trailer Year:

Trailer Make:

Trailer Model:

How many miles do you drive per year?

What is your current mileage?

Entry Details

Please list your entry choice for the “Main Class” (You may choose only one):
Bobtail
Antique Tractor
Tractor/Trailer Combination

On behalf of the company that I represent, I (we) assume full legal, financial and insurable responsibility for any products, trucks, and equipment. I (we) fully release the Kenly 95 East Coast Truckers Jamboree and those associated with it from any and all liability.

Authorized Signature (type name)

Title

Date

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Disclaimer: There are 15 total trophy recipients, including a Trucker’s Choice Plaque, as well as additional prize packages. Prizes won cannot be returned to the store for credit. The Combo category consists of a Truck and Trailer in which the trailer is given additional points toward the Truck’s overall category. This is a family friendly event. No alcoholic beverages, inappropriate substances/paraphernalia or conduct is permitted on the property. Judgment as to the violation of these and other show rules will be at the sole discretion of the Kenly 95 staff.

JOPLIN TRUCKERS JAMBOREE SUPER TRUCKS DISPLAY

Come and display your truck! Antiques and newer truck welcome.

Please complete a separate form for each vehicle.