If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required PROCEDURE: 1.) Complete the LASC Automotive Entrant Application below 2.) Once received, LASC will review the application and email you the status of your application within 48 hours. LASC Entrant Package: $400 Saturday, June 4th 2016 Includes Invitation to display (1) vehicle - Early access to LASC granted Includes (2) Tickets to LASC including all food and beverage Name * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts 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 / Post Code * Phone * Email * Vehicle Information: Year: * Make: * Model: * Color: * Chassis #: Owner: * State: * PLEASE PROVIDE A SHORT BIO OF YOUR VEHICLE: ALL VEHICLES ARE REQUIRED TO BE PLACED AT THE EVENT LOCATION ON FRIDAY, JUNE 3RD. AS A CONDITION OF ACCEPTANCE TO LASC, THE PARTICIPANT AGREES TO ALLOW LASC TO USE THEIR NAME, VOICE, VEHICLE OR LIKENESS FOR PUBLICITY IN ALL FORMS OF MEDIA OR ADVERTISING.