This form is your online registration for the 2012 6th Annual "Corvette's for Chip™" Car Show.


Complete the form in full and submit to register for the show.
After submitting your registration you will be directed to another page where you can pay the show registration fee if you choose. It may take a few seconds for your browser to redirect to to the next page so please be patient.
If you choose not to pay online, your show entry fee can be paid the day of the show.
If you pre-register and pay online the registration fee is $20. To pre-register and pay the day of show the cost is $25. To register and pay the day of show is $30.00

There will be a "Club Preregistration Award" and special show parking to the club that has the most prepaid registrations.

Please bring proof of insurance when you arrive at the show


Thank you for your registration and we look forward to seeing you at our show.

For any show related questions please contact either:
Frank Dubeck at 610-308-3401
or
Michael Crank at 302-250-5060


All fields marked with an asterisk (*) MUST be filled in or the registration will not work.

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We are a duly registered (#31725) charitable organization with the Dept. of State, Commonwealth of PA. For the solicitation of funds for charitable purposes.
Grantors and contributors may rely on the fact that The Chip Miller Charitable Foundation, is an organization described in Section 501 C (3) and 509 (a) (2) of the Internal Revenue Code. A copy of the official registration and financial information may be obtained from the PA. Dept. of State by calling toll free within PA. 1-800-732-0999. Registration does not imply endorsement.