East Coast
Electric Vehicle
Round Up!

Participant Form:

Name:

email:

Phone:

Where are you from (City and State):

How did you hear about our event?

Electric Auto Association Club Affiliation (example- Three Rivers EVA):

Number of people attending the show: (Number of Passes Needed)

I am interested in ordering an Event T-shirt (more details will be emailed in July/August).

I will be bringing a 10x10 tent and table(s) and chair(s)

Please indicate what type of vehicle(s) you will be bringing to the event to show.

Electric Car/Truck:

Type of Electric Car/Truck: Production Electric - or - Electric Conversion - or - Electric Hybrid
Make and Model (example- Tesla Model S):
Year of Vehicle:

Other Electric Vehicle (Off Road):

Type of Other Electric Vehicle (Off Road): Production Electric - or - Electric Conversion - or - Electric Hybrid
Make and Model (example- General Electric Lawn Tractor):
Year of Vehicle:

Alternative Energy Vehicle:

Type of Alternative Energy Vehicle: Production - or - Conversion - or - Hybrid
Kind of Alternative Energy Vehicle (example- Vegetable Oil, Ethanol, Compressed Air, etc):
Make and Model:
Year of Vehicle:

I will require Charging for my Electric or Hybrid Vehicle at the event
I prefer 110 220
I need a Amp Connection with a style plug
or I can also charge at

(Attention Tesla Owners - there is a Tesla Supercharger behind Wendy's Restaurant in Somerset, PA)

Mother Earth News Fair Schedule:
Thursday Setup: 10 AM - 6:00 PM ~ Friday Fair hours: 12:00 PM - 6:00 PM ~
Saturday Fair hours: 9:00 AM - 6:00 PM ~ Sunday Fair hours: 9:00 AM - 5:00 PM

I plan to attend/be present at the event (check all that apply): Thursday Friday Saturday Sunday

Arrival:

I plan to arrive for Setup Day Thursday morning Thursday afternoon Thursday evening
I plan to arrive Friday morning Friday afternoon Friday evening
I plan to arrive Saturday morning Saturday afternoon Saturday evening
I plan to arrive Sunday morning Sunday afternoon Sunday evening (to help cleanup)

Trailer / Drive:
I will Trailer my vehicle to the event and leave it there for more than one day.
I will Trailer my vehicle to the event and stay for only one day.
(A parking area for trailers is available at Seven Springs - however, it is best to arrive early if you can.)
I will drive my vehicle to and from the event each day that I plan to attend.
I will drive my vehicle to the event for only one day.

Overnight Accommodations:

I plan to stay at Hotel Campground Bed and Breakfast My Own Home
Other Accommodations

PLEASE NOTE - If you still need Hotel or other Overnight Accommodations - please remember to BOOK as soon as possible. The less expensive Hotels can become sold out as early as March/April. Check our event website for a list of hotels in Somerset, PA and Campgrounds in the surrounding area.

I have already made my Hotel/Overnight Accommodation Reservations. I am staying at in Somerset, PA
- or - I am staying at in , PA.

I plan to stay (check all that apply):
Thursday night Friday night Saturday night Sunday night

Dinner Plans during Event:

I want to be included in dinner plans at various restaurants in Somerset (check all that apply):
Thursday night Friday night Saturday night Sunday night (after cleanup/packing up)