ATHS Metro Jersey Chapter Historic Truck Show Trucks (all sizes) at least 25 years old Automatic Switch Co. • 50 Hanover Rd. • Florham Park, NJ Sunday, June 12, 2004 • 9:00a.m. - 3:00 p.m. www.NJTruckShow.com VEHICLE EXHIBITOR REGISTRATION FORM You may register on-line or print this form to register by mail

Name Address City State Zip Telephone E-mail Category Small Truck (1 ton or under)   Large Truck Military Vehicle   Fire Apparatus   Construction Equipment   Other Vehicle Description (year, make, model. All trucks MUST be 1980 or earlier. Registration: advance $7.00 per vehicle by May 15 ($7.50 with PayPal*) or $10.00 day of show. Vehicle 1 Fee $ Vehicle 2 Fee $ Vehicle 3 Fee $ Vehicle 4 Fee $ I certify that the vehicle(s) listed above are owned or operated by me and are in safe operating condition, and comply with applicable regulations. The vehicle operator(s) is/are competent to drive the vehicle(s) and hold a valid driver's license. I have liability insurance and take full financial responsibility for the above vehicle(s). I understand and will abide by all ATHS Vehicle Show Safety rules. Signature Date To register on-line, fill in form and press submit button   • Every vehicle exhibitor will receive a beautiful full-color dash plaque. • Owners of first 100 vehicles registered will receive a goodie bag of product samples and premiums. • Vehicles must be in place by 10:00 a.m. and remain until the end of the show (3:00 p.m.) • Large flea market/swap meet for tools, models, toys, mobilia, books, manuals, much more. • Hot and cold food and drinks available all day. • Every vehicle on display must have wheel chocks. • Send this form and fee (check payable to ATHS) to William Wagner, 105 High St., Randolph, NJ 07869. • Questions: call Rich Phillippi at 201-447-2295. * PayPal payment should be made to swapmeetdave@aol.com. Specify ATHS Show registration.

Organizer: Metro Jersey Chapter of American Truck Historical Society