Would you like to take part in the Haynes Village 100?

Do you have a vehicle that dates from 1908, or earlier, which you think would be of particular interest to us?

Please provide the following contact information, so that we may send you details of your entry into the Haynes Village 100 and talk to you more about parade.

Please provide the following contact information:

First Name

Last Name

Title

Address Line 1

Address Line 2

City

County

Postal Code

Country

Home Phone

E-mail

Web Site

Make of Vehicle

Model:

Year of Registration or Manufacture

Main Colour

Owned by

Top Speed in MPH

Cheque No.

Is the Vehicle Road Legal? Vehicles must be road legal to take part in the parade. Vehicles not road legal can take part in the static display.

Yes

No

Please return with cheque made payable to Haynes Village Hall to the Haynes Village 100, 16, Silver End Road, Haynes, Bedford, MK45 3PP

Entry Confirmations:

With the above information we will contact you with a confirmation of your entry into the event. If, in the meantime your situation changes and you are unable to take part in The Haynes Village 100, please let us know.

Please provide an email address and telephone number where possible, as this will enable the team to provide rapid entry confirmation.

All such information will only be used for the Haynes Village 100 event and will not be disclosed to other parties.