Registration TEST PAGE - Frog Follies

Vehicle Registration Form

NOTE: Please submit a separate entry for EACH VEHICLE you are entering.

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Vehicle Year(Required)

Enter last 2 digits of year. ie 1949 would be 49.

Vehicle Make(Required)

Vehicle Model(Required)

Vehicle Color(Required)

Shirt Size(Required)

One t-shirt included with each entry. Additional shirts will be available for purchase at event.

Number of Adults Attending(Required)

Number of Children Attending(Required)

Registration Details

Check if New Address

Check if you have registered before (NOT your 1st time)

Event Registration Fee

Entry BEFORE JULY 1 ($25)

Total To Be Charged To Your Card

Credit Card

Card Details

Cardholder Name

Your Signature(Required)

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.