Fairfield County Concours d'Elegance - Event Guide
100 YEARS OF SIGNIFICANT MOTOR VEHICLES



 

 

 

 

Vehicle Entry Application


2010 Entries are Closed.

Any vehicles submitted after July 15 may be considered for 2011.
Thanks for your interest and support.

Fields marked with * are required.

Providing information for all questions will greatly enhance your probability of selection for the Concours.  Please also provide a photo of the vehicle on the next page (Click NEXT at the bottom of this page).

Owner Information

*Owner Name (s)
*Owner 1 Prefix
*Owner 1 First Name
*Owner 1 Last Name
Owner 1 Suffix
Owner 2 Prefix
Owner 2 First Name
Owner 2 Last Name
Owner 2 Suffix
*Address Line 1:
Address Line 2:
*City:
State:
* Zip/Postal Code:
Country
*Phone:
Cell:
Fax:
E-Mail:
Confirm E-Mail:
Preferred method of communications is:           EMAIL             Postal Mail

Exhibitor Information

*Same as Owner           Y             N
Exhibitor Name (s)
Exhibitor 1 Prefix
Exhibitor 1 First Name
Exhibitor 1 Last Name
Exhibitor 1 Suffix
Exhibitor 2 Prefix
Exhibitor 2 First Name
Exhibitor 2 Last Name
Exhibitor 2 Suffix
Address Line 1:
Address Line 2:
City:
State:
Zip/Postal Code:
Country
Phone:
Cell:
Fax:
E-Mail:
Confirm E-Mail:

Vehicle Information

All Fields Required
*Make
*Model
*Year:
*Type           Automobile            Motorcycle
*Color:
*Body Style:
*Coach Builder:
*Horse Power / Size:
*Type of Engine:
*Chassis or ID Number:
*Engine Number:
FIVA Award
My car is a carefully preserved, un-restored original and I would like to have it considered for the FIVA award
 

Release of Liability


*I acknowledge and Agree

           Y             N

The undersigned hereby tenders his / her application to enter and participate in a certain motorcar event and competition (The Fairfield County Concours d'Elegance) and related events, to be held by Fairfield County Concours d'Elegance, LLC on September 12 & 13, 2009. In consideration of the acceptance by the Selection Committee of the application of the undersigned to participate in said events the undersigned does agree to:
  1. Release Fairfield County Concours d'Elegance, Fairfield County Concours d'Elegance LLC, Fairfield County Hunt Club, Inc., and their owners, partners, officers, directors, employees, and their members and volunteers from any and all liability arising out of said events.
  2. Release all other participants and officials from any and all liability arising out of their participation in said events.
  3. Understand and accept that the information and photographs accompanying each entry may be used for publicity purposes or other commercial purposes by Fairfield Concours d'Elegance, and hereby waive, release, and assign his/her private rights to the production, reproduction, and publication of any motion picture, photographs, images, or video film which depict him or his automobile participating in said events.
  4. Understand and accept that photographs, video, or motion films of the Fairfield County Concours d'Elegance may not be taken or used for commercial purposes without prior written permission from Fairfield County Concours d'Elegance.

*Name
*Date

Please Answer The Following Questions

Please answer all of the questions. The more complete the application, the higher the probability of acceptance.
*I will arrive on: Friday     Saturday   Sunday
*I am driving the car or will bring it in a trailer? Drive     Trailer  
*I would like overnight security for the vehicle Yes     Not Necessary  
Is the car Open (no windows but may have side curtains)
Convertible (roll up windows)
Closed
Is this the original unmodified chassis? Y      N
If no, what non-original components were used in the restoration or reconstruction of the vehicle?
Is this the original serial number engine? Y      N
If no, is the engine of the correct type conforming to the original? Y      N
Is this the original unmodified body and exterior? Y      N
If no, what has been changed or replaced?
What optional equipment does the vehicle have?
Has the vehicle had any celebrity, famous our infamous owner? Y      N
If yes, who
Why did you acquire this particular vehicle? (Father owned one, I had one earlier, etc.)
Tell an interesting story about  this vehicle
Has the vehicle been shown in previous Fairfield County Concours? Y      N
If yes, when
If my vehicle is accepted in the Concours, I would be interested in participation in the Nutmeg Tour for Autism on Saturday, Sept. 11
Nutmeg Tour for Autism? Y      N
On the next page, you will have the option to upload a photo of your vehicle (JPG or GIF) and up to two supporting documents (MS Word, TXT or PDF).  If you do not wish to do this now, Click "DONE".  To add an image or document, Click "NEXT".
  
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