Online Entry Form For The "ICEBREAKER 200 ENDURO RACE"

ALTUS SPEEDWAY, MARCH 8, 2008

Entry Fee $50 before March 1st, Enter after March 1st $100.

ENTER EARLY, CARS WILL BE LINED-UP BY THEIR ENTRY NUMBER!

ENTRY FEE DOES NOT INCLUDE A PIT PASS FOR THE DRIVER
In an effort to encourage drivers to enter early our new policy will be to not cash any checks or charge cards until the day of the event. So you can send in your entry fee early to get the reduced price but the check won't be run thru the bank until the Monday following the race. We are doing this because with our automated scoring system we want to encourage everyone to enter early, it helps speed up the sign-in process to have drivers already entered into the computer. If you are a "no-show" we will refund your entry fee minus a $25 cancellation charge. Early entries may not be sold or traded without prior approval from management.
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First Name:

Last Name:

Address:

City:
State:
Zip:

SSN or FEI

Home Phone:
(with area code)

Work Phone:

(with area code)
Cell Phone:
(with area code)

Birth Date:

Email Address:

Car Number:

Car Class:

Sponsors:

CREDIT CARD INFORMATION: This is to reserve a entry into the race. We will not charge your card until the day of the event. Please bring the card with you to the race so we can swipe it thru the CC machine.
Credit Card:
Expiration Date:

month year









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