ENTRY BLANK
ENTRY FEE: $25.00 POSTMARKED BY OCTOBER 1
- $50.00 AFTER October 1, 2003
Car number and pit location
will be assigned based on entry postmarks. Please give us length & height of your
hauler on the entry blank. Some cars may be pitted in the infield.
DRIVER:____________________________CAR
OWNER______________________________
PAYOFF
TO:_______________________________SS#:_______________________________
ADDRESS:____________________________________________________________________
_____________________________________________________________________________
MAKE:_____________YEAR:_________SPONSOR:___________________________________
CAR #
REQUESTED:__________OUR HAULER IS________LONG & ___________HIGH
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