Photo Contest Entry Form

Model year and make of car:

Color of car:

Photographer/car owner’s name & age:

Daytime phone:

Complete address:

Camera brand and model:

Model’s full name, age, and hometown:

Relation of model to photographer:

Location of photo shoot:

Engine type and size:

Cylinder heads:

Camshaft:

Intake manifold and carb (or EFI type):

Transmission/converter/driveshaft:

Rearend and gearing:

Front suspension:

Front brakes:

Rear suspension:

Major chassis mods:

Rear brakes:

Wheels (size, brand, style):

Tires (size, brand, model):

Other special or unique features:

Peak horsepower (note engine or chassis dyno):

Best dragstrip e.t. (note eighth-mile or quarter-mile):

Did you build the car yourself:

Years owned:

How much do you have into this car (including car):

Checklist (must have all): Photo CD/DVD (JPEGs only) — ❑ 1-page cover story — ❑ 4x6 color prints — ❑

Print name:

Signature:

I assert that I am the owner and photographer of the vehicle described above, and hereby give PHR and its assignees permission to publish these images.

Mail To:

Source Interlink Media

Attn: PHR Photo Contest

1733 Alton Pkwy., Ste. 100

Irvine, CA 92606-4901

All entries must be received by August 1, 2012