2010 ANNUAL RACE VEHICLE ONLINE NUMBER REGISTRATION

Use this form if you want to register a racing vehicle to compete at Wild West Speedway during the 2010 season. All vehicles that compete at the track must be registered by using this online method or at the track (online will save you and us time). The cost per vehicle is $25. All numbers are first come first serve! We cannot guarantee or hold you a number. Registration fees are not refundable or transferrable, numbers may not be resold. The registration fee is for the car and does not include a pit pass or your IMCA license (if running a IMCA class). After you fill out this form and hit the "CLICK TO REGISTER" button you will be directed to the PayPal payment page. If you need assistance or have any questions call 405-990-3990.

WILD WEST SPEEDWAY 2010 ANNUAL RACE VEHICLE NUMBER REGISTRATION FORM

Choose Class	MODIFIEDIMCA SPORTMODFACTORY STOCKIMCA HOBBY STOCKIMCA SPORT COMPACTA-CLASS SPRINTLIMITED SPRINTKART JUNIOR 1KART JUNIOR 2KART JUNIOR 3KART BLUE MOTORKART 4 CYCLE MODKART 2 CYCLE OPENQUAD BEGINNERQUAD AMATEURQUAD PRO
Requested Vehicle Number
Owner Status	OWNER DRIVER OWNER ONLY
Vehicle Owner Name
Address
City, State ZIP
Best Phone Contact #
Is this a cell phone that can receive TEXT messages?	YES NO
E-mail
Owner Birthday (mmddyyyy)
Owner SSN# or FEI# (no dashes)
Year, Make & Mod
Sponsors (for announcer)
Driver Accomplishments (for announcer)
Alternate Number (in case requested number is already taken)
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