nd
2 Annual Hip Hop in the Ville Car Show
Saturday – July 23rd, 2011 at Hickory Hollow Mall, Nashville, TN
Show Hours 12:00 p.m. – 7:00 p.m. Check In 9:00 a.m. – 11:00 a.m.
(entries received July 16th or later are subject to Late Entry Fee –see below)
See our Website – www.hiphopintheville.com
Please use a separate entry form for each vehicle entered
Name: _____________________________________________________________
Address: ___________________________________________________________
City: ___________________________________ State:_______ ZIP:___________
Phone: ___/___/____ and/or Email:_______________@_____________________
Entry Fees (All Classes are Participant’s Choice): $20.00 (must be received by July 1st,
2011)
$25.00 Late Entry –entries received after July 1st, 2011
Information about my vehicle is as follows:
Make: _______________________________________________________________
Model:______________________________________________________________
Year: ________ Color: ________________ License # ________________________
Ins. Carrier: ________________________________ Expiration: ____/_____/____
Daily Drive? Yes or No How long have you owned the car?____________
This entry form must be signed:
I understand that signing below releases the Hip Hop in the Ville Car Show, Elite Business
Network and
Tennessee State Fair from any and all liability and/or responsibility for any damages that may
occur on the day of the show at Hickory Hollow Mall, resulting directly or indirectly form the show
or the
Participants. I also understand that I am responsible for my automobile that I am responsible for
my automobile and it’s contents.
Signature: _____________________________________ Date: ________
Make money order out to: Wesley Mitchell p.o.box 41872 Nashvillle,TN 37204