Antique Car Show Application
Victorian Days 2019

Saturday, September 7, 2019--9 a.m.-4 p.m.
(Saturday registration 9 a.m. to noon)

AND

Sunday, September 8, 2019—11 a.m.-4 p.m.
(Sunday registration 11 a.m. to 1 p.m.)

Special prizes and Dash Plaques*
Event is held Rain or Shine!

Email address *
Registration Fees
Choose One
Payment
Please fill out the form below, then send payment either online or by check payable to:

Belvidere Heritage, Inc. P.O. Box 134
Belvidere, NJ 07823

Pay Online by Paypal - at this link:

https://www.paypal.com/donate/?token=nq9WK5ZT57w4LGTIRcrI_1yE6lLaVgrVzJYNiwIYFwfRsNAynBed1Br97wciSXZ-aaAntm&country.x=US&locale.x=US

Please reference this application in the Notes Section.

Registrant Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone *
Your answer
Vehicle Information
Make *
Your answer
Model *
Your answer
Year
Your answer
Amount to be paid online or by mail *
Your answer
For more information on Victorian Days activities, visit: www.BelvidereHeritage.com or facebook.com/BelvidereHeritage
Questions? Call June—908-581-3320

*One dash plaque per pre-registered car; Day-of registrants, while supplies last.

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