|
Class:_____________ Car No._______________ Driver 1___________________________________ Years Racing ______________ SSN:________ - _________ - ________________ Home Phone ( ) - Address __________________________________ Cell Phone ( ) - City _____________________ State ___________ Email __________________________ Zip ____________________ Birthdate________________________ T-Shirt Size _____________________ Jacket Size _____________________
Driver 2___________________________________ Years Racing ______________ SSN:________ - _________ - ________________ Home Phone ( ) - Address __________________________________ Cell Phone ( ) - City _____________________ State ___________ Email __________________________ Zip ____________________ Birthdate________________________ T-Shirt Size _____________________ Jacket Size _____________________ Home Town News Paper ____________________________________________________ Please list any medical conditions or reactions that you have. This will assist use if you should need to be treated for an emergency.____________________________________________ ________________________________________________________________________ Do you qualify as a ROOKIE at JMS for 2008 _____ Yes _____No
2 Main Sponsors (1)___________________________(2)___________________________ Pit Crew _________________________________________________________________ PLEASE NOTE: A W-9 FORM MUST BE FILLED OUT OR NO CHECK WILL BE ISSUED.
jmsinfo@junctionmotorspeedway.com
|
|