LVCE Application - 2021 Las Vegas Concours d'Elegance

Entry forms should be submitted online via email or the below form. All entries must provide at least THREE color photos with each entry form; ONE exterior view, ONE interior view and ONE engine view. Up to SIX, glossy color photos may be provided. If you wish to register and provide photos via email, send to: Entry@lasvegasconcours.com To submit by mail (non-preferred method), please mail the completed form (DOWNLOAD HERE) with up to 6 color glossy photos to: Las Vegas Concours d’Elegance, 9811 West Charleston Blvd., Suite 2-553, Las Vegas, NV 89117

Name *

First

Last

Mobile Phone / Office Phone / Home Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Vehicle Information

Year / Marque / Model *

Coachbuilder / Body Style *

Exterior Color / Interior Color *

Additional Questions

Is the Vehicle Stock?

Yes
No

Is the Vehicle Original/Unrestored?

Yes
No

If no, restored by whom? / Year restored / Year rebodied

Is the Engine ORIGINAL to the car? If not, please explain the change *

Is the Body ORIGINAL to the car? If not, please explain the change *

(Please note: We do not accept re-bodied vehicles unless they have been re-bodied within 10 years of the original manufacture done by the original manufacturer or their agent)

Is the Chassis ORIGINAL to the car? If not, please explain the change *

Is the Paint ORIGINAL to the car? If not, please explain the change *

Please give us some of the vehicle's history and/or significant features you would like to be known *

Has the vehicle been submitted for judging or Concours competition since most recent restoration? If so, where? *

If your vehicle is accepted, how would you like your vehicle name and address to appear? *

File Upload

Vehicle Insurance

Insurance Company / Policy Number *

Contact Phone *

Vehicle Handling and Transportation

Company Name of Transporter / Representative / Handler

Address

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone Contact / Cell Number / Email Address

Release of Liability

By Signing Below, I attest that the information provided regarding this automobile is valid and true.The undersigned desiring to enter and participate in the Las Vegas Concours d’Elegance LLC (LVCE) Events to be held on October 21-24, 2021 does hereby submit the entry application. In consideration of the acceptance of this Entry Application by LVCE, the undersigned does hereby agree to (a) Indemnify and Hold Harmless LVCE, their staff, directors, appointees, representatives, volunteers and agents and against any and all liabilities, damages, causes of action and expense arising out of said event, (b) release all other contestants and officials from any and all liability arising out of said event, (c) release sponsor companies and their employees, vendors, and other exhibitors from any and all liability arising out of said event, (d) warrant that the undersigned has potentially read the Rules and Regulations under which has said event will be conducted and will abide by said Rules and Regulations and € give permission to use enclosed vehicle information and histories, as well as any photographs provided by me or taken by others, for publicity in all media, advertising, and programming inclusion. By signing below you understand that you are waiving any right that you or anyone on your behalf may have to bring a legal action or assert to a claim of any kind. I have read the above and accept the Terms and Conditions

Signature *

Printed Name *

Please Solve For Below *

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