2024 Mt. Shasta Registration Form
40th Annual Mt. Shasta Datsun Roadster Meet
June 20-22, 2024
Pre-registration ends June 1, 2024
No Refunds on Registration or Banquet Tickets
One registration form per vehicle
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*
Date*
REGISTRATION OPTIONS - FOR CAR CLASSIFICATIONS AND ADDITIONAL INFO, SEE WEBSITE
CATEGORY
SELECTION
QTY
TOTAL
Registration Type
Full Show Registration Includes Adult Dinner
Vehicle category (includes 1 adult dinner)
DIAMOND IN THE ROUGH (3 yr max): needs body work, paint and/or $75.00
STOCK 1500: factory based engine $75.00
LOW WINDSHIELD STOCK 1600: factory based engine $75.00
HIGH WINDSHIELD STOCK 1600: factory based engine $75.00
LOW WINDSHIELD STOCK 2000: factory based engine $75.00
HIGH WINDSHIELD STOCK 2000: factory based engine $75.00
CUSTOM 1600: factory based engine with body modifications $75.00
CUSTOM 2000: factory based engine with body modifications $75.00
MODIFIED: non-factory based engine $75.00
PREMIER: 1st place winners of their class last year $75.00
JDM: Pre-1978 Datsuns but non-roadsters $75.00
DISPLAY ONLY: Not entered into competition $75.00
For car categories discriptions, click here!
Note: Full Show Registration include 1 ADULT DINNER TICKET for Awards Banquet, Registration at Show `N Shine, Ice Cream Social, Welcome Reception, Fun Run, Paul`s Coast, etc. Additional dinner tickets can be purchased below.
Show Only Registration Does Not Include Banquet
Choose your vehicle category
DIAMOND IN THE ROUGH (3 yr max): needs body work, paint and/or $50.00
STOCK 1500: factory based engine $50.00
LOW WINDSHIELD STOCK 1600: factory based engine $50.00
HIGH WINDSHIELD STOCK 1600: factory based engine $50.00
LOW WINDSHIELD STOCK 2000: factory based engine $50.00
HIGH WINDSHIELD STOCK 2000: factory based engine $50.00
CUSTOM 1600: factory based engine with body modifications $50.00
CUSTOM 2000: factory based engine with body modifications $50.00
MODIFIED: non-factory based engine $50.00
JDM: Pre-1978 Datsuns but non-roadsters $50.00
PREMIER: 1st place winners of their class last year $50.00
For car category descriptions, click here!
Note: Show Only registration DOES NOT include Dinner Ticket for Awards Banquet or any other events.
Participant Registration (no car at show)
Choose Participant Registration (no car)
Receives Full Registration items but does not include car regis $45.00
Note: Participant registration includes 1 ADULT DINNER TICKET, welcome reception and all other events. Additional dinner tickets can be purchased below.
Additional Dinner Tickets
Additional Adult Dinner Tickets For Your Guest(s)
Choose your ticket options
Adult $30.00
Note: Additional adult dinner ticket(s) when accompanying a full registrant or participant registrant or those attending the banquet only.
Children Dinner Tickets
Choose your ticket options
Children 6-12 years old (Ages 5 and under free) $12.50
T-Shirts
T-Shirts
Please specify size
Small $25.00
Med $25.00
Large $25.00
X-Large $25.00
XX-Large $27.00
XXX-Large $28.00
T-Shirts
Please specify size
Small $25.00
Med $25.00
Large $25.00
X-Large $25.00
XX-Large $27.00
XXX-Large $28.00
T-Shirts
Please specify size
Small $25.00
Med $25.00
Large $25.00
X-Large $25.00
XX-Large $27.00
XXX-Large $28.00
Polo Shirts - Will only be ordered if there is a total of 10 polo shirts due to embroidery charges.
Polo-Shirts
Please specify size
Small $35.00
Medium $35.00
Large $35.00
X-Large $35.00
XX-Large $37.00
XXX-Large $38.00
Polo-Shirts
Please specify size
Small $35.00
Medium $35.00
Large $35.00
X-Large $35.00
XX-Large $37.00
XXX-Large $38.00
GRAND TOTAL:
Attendee Information
Name:*
Your Guest`s Name*
Address Line 1:*
City:*
State or Country*
Choose a State or Country
Alabama
Alaska
Arizona
Arkansas
California
Canada
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Mexico
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip or Postal Code:*
Cell Phone:*
First Time Attendee?
Attendee Information is for our records only. Participant name and general location will be shared on the website. No other info will be shared!
Vehicle Information
Year*
Color*
Model*
More about your ride, This info will be included on your dash card at the meet.
Payments will be made through PayPal. If you do not have a PayPal account, Paypal offers a credit card option.
If you prefer to pay by check and elminate the PayPal fee, please make check payable to Mt. Shasta Datsun Roadsters and send to
8337 Quail Springs Way, Sacramento, CA 95829
We look forward to seeing you at the meet.
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