Registration TEST PAGE - Frog Follies

ONLINE Vehicle Registration Form

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

** Please use either all capital letters or appropriate upper and lower case letters when completing this form**

Name(Required)

First Last

Address(Required)

Street Address City State (2 letter abbreviation) ZIP / Postal Code Country

Phone(Required)

Email(Required)

Vehicle Year (MUST BE BEFORE 1949)(Required)

Enter last two digits of year. i.e. 1942 would be 42.

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

BEFORE JULY 1 ($25)

Total To Be Charged To Your Card

Credit Card

Card Details

Cardholder Name

Your Signature(Required)

CAPTCHA

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