Build-A-Bug Submission Form

If you’d prefer to fill out our PDF form, feel free. You can fill it out, print and send it to me as well. Or, call 845.290.9900 for more details

Please enter as much information as possible

Your Name (required)

Your Phone (required)

Your Email (required)

Home Address

What year/era Bug? (ie 50s, 60s, 70s)

Type of Bug

Restoration Level

This Bug will be used for:

Any Additional Details?