Mid America Ford and Team Shelby Nationals Concours Application

Concours entry is by pre-registration only. Spaces are limited to 3 cars per Class. The Classes include 65, 66, 67, 68, 69, 70 Shelby GT350/GT500 and 69, 71 Boss 302, 351, & 429 Mustangs.

Concours Divisions Include: HERITAGE ELITE – Stock/Original HERITAGE – Non-NOS VINTAGE – Un-restored/Original

Please return the bottom portion of this form IMMEDIATELY to: David Apgar, c/o Mid America 34, PO Box 57816, Oklahoma City, OK 73157

Prior to entering the concours judging owners must complete application and payment, submit photos of their vehicle including, exterior (4 corner views), interior, engine, trunk, undercarriage front and rear, 67 and up cars must include Marti report. Please submit application and photos via email to [email protected]. Once application has been reviewed and accepted, judges will then send out an acceptance letter informing the owner of the vehicle of their class and time schedule for the event.

REGISTRATION CUT OFF IS June 1ST, 2009

Mid America Ford and Team Shelby Nationals Concours Application Form

Name______

Address______

City/State/Zip______

Phone______CELL______E-Mail______

Vehicle Year______Model______Color______Serial#______

Please check and include items below. Photos___ Marti Report____ Payment___ Interesting History if Any?_____ Year Restoration Completed____

PLEASE INDICATE DIVISION CLASS:

HERITAGE ELITE $150.00 ___ 65SHELBY __68 SHELBY__BOSS 302 __

HERITAGE $150.00 ___ 66 SHELBY__69 SHELBY__BOSS 351 __

VINTAGE $75.00 ___ 67 SHELBY__70 SHELBY__ BOSS 429 __

NO REFUNDS WILL BE MADE ONCE APPLICATION IS ACCEPTED

DISCLAIMER: Mid America concours awards represent the judgment and opinion of fellow enthusiasts as to originality, condition and operational function of the cars from Shelby American and Ford Motor Co. for the hobby purpose. Mid America makes no express or implied warranties or representations as to the authenticity of any vehicle receiving an award. And buyer or seller who uses the awards or judging sheets for the purpose of establishing or to substantiate the value of a Shelby or Boss does so at their own risk.