10th Annual NW SprinterFest Registration Form


Saturday, May 30th, 2015
10:00 AM - 4:00 PM
(or later - All depends on who hangs around)
The Sprinter Store, 19460 SW 89th Ave, Tualatin, OR 97062
Tel: 503-692-0846

Welcome to the Online Registration for the upcoming 10th Annual NW SprinterFest event, May 30, 2015, at The Sprinter Store (aka Upscale Automotive, Inc) 19460 SW 89th Ave, Tualatin, OR 97062.

Please fill in the form below to give us a heads-up on your intention to attend the NW SprinterFest event.Please be as complete as possible and enter your information using standard UPPER and lower case.

We will use this information to make a badge for you while your at the SprinterFest so others my easily meet and greet you. When you arrive we will ask you to check in at the registration table where you will get your badge and program for the day. We look forward to seeing you at the 10th Annual NW SprinterFest event.

Form Directions:
1. Use ONLY the TAB key or your mouse to move from field to field.
2. Please be as complete as possible when entering information. You are also required to fill in the email address at the bottom of the form in order to submit the form.
3. When you are finished, put your email address in the bottom block for email confirmation and click the submit key at the bottom of the form.
4. Only the email address at the bottom of the form will receive an email confirmation of this registration.

 

* REQUIRED - Enter your information below:

# 1 - First Name:

# 1 - Last Name:
Company name(not required):
Street Address line 1:
Street Address line 2:
City:
State:
Country:
Zip:
Phone #:
Cell Phone # (So we can contact you at the Fest):
EMail (For announcements only):

 

Other passengers that will come along for the thrill of it.

# 2 - First Name:

# 2 - Last Name:

 

# 3 - First Name:

# 3 - Last Name:

 

# 4 - First Name:

# 4 - Last Name:

 

Now the important stuff - Your SPRINTER Information.

 

Sprinter Make (MB, Dodge, Freightliner):

Sprinter Year:

Sprinter Model (2500/3500/etc):
Sprinter wheelbase (118/140/158/144/170):
Sprinter type (Passenger/Cargo/Cab Chassis/Motor Home):
If Motorhome - Model:
DIY Modifications (Be brief):

 

The following required email address will allow us to send you confirmation of your registration.

EMail address of person filling out this form: (REQUIRED)