@TeslaRoadTrip 2016 Fall Event Registration
November Vineyard & Drive-In Fall Event
Saturday, November 5th, 2016 - Sunday, November 6th, 2016
Shenandoah Valley, VA

Please complete the form below if you're planning to join us. Please note all information will only be used by the planners of this event (a small group of loyal Tesla enthusiasts) strictly to support the road trip and will not be shared.

Your First Name: *
Your answer
Your Last Name: *
Your answer
TMC Name:
Your answer
Email: *
You will need a valid email address to complete registration.
Your answer
City: *
Your answer
State: *
Cell Number: *
(This will help us find you during the event if necessary and will only be shared with the Tesla Road Trip staff for use at this event.)
Your answer
Planned number of attendees (including yourself): *
Expected Participation: *
You're not locked into these and all activities for this trip are pay-as-you-go, but your response will significantly help plan for the best experience.
Tesla Model: *
Food trucks will be available at the vineyard. Do you need a vegetarian option?
Will you be staying overnight in the area of the event?
License Plate Number / State:
This helps us know who is who when charging. If you don't know, leave it blank for now.
Your answer
How did you hear about the event? (check all that apply)
Optional, but appreciated!
Additional info (optional):
Add anything else you'd like to pass along (e.g., charge anxiety, suggestions, etc.)
Your answer
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