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    • Home
    • Events & Causes
    • In The News
    • Apparel & Accessories
    • Gallery
    • Contact Us
    • Diesel Jam
    • Our Sponsors
  • Home
  • Events & Causes
  • In The News
  • Apparel & Accessories
  • Gallery
  • Contact Us
  • Diesel Jam
  • Our Sponsors

The Andrew Mazza Foundation

The Andrew Mazza Foundation The Andrew Mazza Foundation

andrew mazza diesel jam 2021

Please Send Registration and Submit Registration Fee Separately. Truck Only Registration = $25.00 OR Truck Registration & 3 Runs on Mobile Dyno Registration $125.00

Please submit your payment below.  

Select either the $25.00 Truck Only Registration or the $125.00 Truck & Dyno Registration. 

Early Registration Pricing Available until June 30, 2021.


*Printable registration for check payments available in a lower section on this page.*

Early registration $25.00

By submitting payment you acknowledge that you are accepting the terms of the liability clause. Liability Clause: In consideration for the right to participate, by execution of this form, you release and discharge Johnson College, The Circle Drive-In, and the Andrew Mazza Foundation, their officers, directors, employees, and/or anyone connected with the above of and from any and all known and unknown damages, injuries, losses, and claims from any cause whatsoever that may be suffered by any entrant, spectator, or their passenger(s) to his or her property.  

Pay with PayPal or a debit/credit card

EARLY REGISTRATION & 3 DYNO PULLS - $125.00

 By submitting payment you acknowledge that you are accepting the terms of the liability clause. Liability Clause: In consideration for the right to participate, by execution of this form, you release and discharge Johnson College, The Circle Drive-In, and the Andrew Mazza Foundation, their officers, directors, employees, and/or anyone connected with the above of and from any and all known and unknown damages, injuries, losses, and claims from any cause whatsoever that may be suffered by any entrant, spectator, or their passenger(s) to his or her property.   

Pay with PayPal or a debit/credit card

Mail-In Truck Registration

If you would like to register your truck via check payment, please fill out the form below and mail with your payment to:
Andrew Mazza Foundation 

C/O Theresa Bandru 

3 Tenth Avenue

Carbondale, PA 18407   
All payments can be made out to "The Andrew Mazza Foundation".


If you have any questions please feel free to contact Dawn Ziegler at (570) 313-0369 or  AndrewMazzaFoundation@gmail.com. 

Andrew Mazza Diesel Jam 2021 | Truck Registration Form (pdf)

Download

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THANK YOU TO OUR ANDREW MAZZA DIESEL JAM 2019 SPONSORS


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