Register Your Vette

THREE EASY WAYS TO REGISTER!

Choose your preferred method:

• Online
• By Mail
• In Person - Day of Show

1) Online

You can register online using a Credit Card, Check or PayPal account balance via PayPal.  Note that it is not required that you have (or create) a PayPal account to register online! To just use your credit card, look for the "Don't have a PayPal account?" instructions on the PayPal payment page.

Online registration is only $20 ($25 after 8/18/2010) per Corvette.

Instructions for registering online:
A) Fill out the form below
B) Click the Pay Now button at the bottom of the form

Online Show Registration form
First Name:*
Last Name:*
Street Address:*
City:*
State:*	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
ZIP Code:*
Best Contact Phone Number:*	--
Email Address:*
Vette Year:*	Select One... 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Vette Model Type:*	Select One... T-Top Removable Panel Convertible Fixed Roof
Vette Color:*
License Plate:
Corvette Club Affiliation(s), if any:
How did you hear about CFAC?:*	Select One... I'm a Previous Attendee Flyer on/in my car at another show Flyer other than on/in my car at another show CorvetteForum.com DigitalCorvettes.com CorvetteActionCenter.com C3VR.com C4VetteRegistry.com C6VR.com My Local Corvette Club (specifiy which below) Magazine (specifiy which below) Website not listed above (specifiy which below) Other (specifiy which below)
Detail on how you hear about CFAC?:*
Class of Entry:*	Select One... Stock C1 (1953-1962) Stock C2 (1963-1967) Stock C3 (1968-1982) Stock C4 (1984-1996) Stock C5 (1997-2004) Stock C6 (2005-present) Modified C1 (1953-1962) Modified C2 (1963-1967) Modified C3 (1968-1982) Modified C4 (1984-1996) Modified C5 (1997-2004) Modified C6 (2005-present) TLC (All Years) (Class Definitions) Show producers and judges reserve the right to re-class at their discretion.
Privacy Preferences:*	For all registered participants and winners we will list the Vettes and their owner's name, city and state on our website. Please indicate here if you would like to show or hide your personal info: Show First and Last Name: Select One... Show my name Do NOT show my name Show City and State: Select One... Show my city and state Do NOT show my city and state
Upload Photo of your Vette:	Click to Upload an Image Please upload a photo of your Vette that we can display on the registration list.
Comments, if any:
Spam Protection:*	Please enter "NOSPAM" in the box above with no quotes or spaces in all CAPS.
* Items are Required Fill out the form above, then click the Pay Now button below to register and pay online using a Credit Card, Check or PayPal account. (No PayPal Account is needed!) Last day to register online is 09/08/2010!!

2) By Mail

Mail in registration is only $20 ($25 after 8/18/2010) per Corvette and
MUST BE RECEIVED BY 09/05/2010.

• A) Make Check or Money order payable to:
      Alzheimer's Association, Delaware Valley Chapter
• B) Print and fill out registration form. (requires Adobe Acrobat Reader)
• C) Mail your check/money order and registration form in an envelope addressed to:
  Corvettes for A Cure
  c/o C3VR
  PO Box 202
  Eagleville, PA 19408
  

3) In Person - Day of Show

Register the day of the show for just $25 per Corvette

Date
Saturday, 09/18/2010
10am - 3pm, rain or shine
Gates open at 9am

Location
Providence Town Center
Rt 29 & Arcola Road
Collegeville, PA 19426
Click here for directions

Because this event is for Charity, Registration Donation is not refundable. This event will be held Rain or Shine!