CAR SHOW REGISTRATION - Tusculum University Advancement

Please make sure to complete the entire form and complete the payment. You may register online or at the show.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

VEHICLE INFORMATION

Vehicle Year

Vehicle Model

Vehicle Color

LIABILITY CLAUSE

Entrants and Participants by execution of this entry form release and discharge the State of Tennessee, Greene County, the City of Greeneville, Old Oak Show & Shine, their officers, directors, employees, agents, representatives, servants, and anyone else connected with the presentation of "Old Oak Show & Shine" from any and all known or unknown damages, injuries, losses, judgements, and/or claims from any causes whatsoever that may be suffered by any Entrant or Participant to person or property.

PAYMENT

Registration Fee

Price:

Payment Preference(Required)

PAY NOW with CREDIT CARD

MAIL IN CHECK

Credit Card

Card Details

Cardholder Name

If you prefer to pay by check, physical payment can be mailed to:

Melissa Bryant
Tusculum University
P.O. Box 5040
Greeneville, TN 37745

Checks need to be made payable to Tusculum University.
Please include a contact person with any physical payments.
If you prefer to pay with cash, please contact Melissa Bryant at 423-636-7407 to make arrangements.