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Oct. 14-16, 2022
★View ONLINE Catalog★
Visit the 2023 Website
★★ Click Here to view the ONLINE CATALOG of Vehicles ★★
Registration Form
Lake Mirror Classic 2022
Proceeds go to Charity - Thank You
DO NOT type in ALL CAPS. Normal letters please.
Owner Name
(Required)
DO NOT put your Auto Club name here!
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
Owner Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
You'll Add a Vehicle for each event, then enter Payment details to finish
If you are adding the
same
vehicle on Friday Night -AND- on Saturday, you'll enter all those vehicle details TWICE (sorry).
Select an Event
Year
Make
Model
Actions
Edit Registration
Delete
No registered vehicles yet! Click the button below to add a Vehicle.
Add Vehicle
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Registration Total
Price:
$0.00
Hidden
Total2
Payment Method
Pay now with CC (preferred)
CREDIT CARD NOTE: If you pay using a "Stored Credit Card", most likely it will screw up your phone # at the top of this page. Please check your phone # before submitting your payment.
Credit Card
Card Details
Cardholder Name
Payment must be received by September 15, 2022
Mail check to:
Autodynamics Foundation Inc.
2817 Fairway View Dr.
Valrico, FL 33596
Consent
(Required)
I understand photos submitted may be used for promotional or award purposes of the event and/or may be visible to the public on the web or other social media outlets. You can edit your vehicle registration to easily change images if you uploaded something you don't want others to see.
I agree to the vehicle image policy.
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