2008 Driver Registration Card  --  $25 Fee

 

THIS FORM MUST BE COMPLETELY FILLED OUT BEFORE ALLOWED TO RACE!!!

 

RACING DIVISION_________________________________________CAR NUMBER_________________________

 

 

DRIVER’S NAME___________________________________ Social Security Number________________________

 

 

ADDRESS______________________________________________ HOME PHONE__________________________

 

 

CITY_____________________________________________STATE______ZIP CODE________________________

 

 

DRIVER’S E-MAIL ADDRESS:_____________________________________________________________________

 

 

OWNER’S NAME___________________________________ Social Security Number________________________

 

 

ADDRESS_______________________________________________ HOME PHONE _________________________ 

 

 

CITY______________________________________________STATE_____ZIP CODE_________________________

 

 

OWNER’S E-MAIL ADDRESS:______________________________________________________________________

 

 

 

WHO RECEIVES EARNINGS and 1099 FORM?  (Please Check Mark) 

________(OWNER)        _______(DRIVER)       ______ ( SPLIT BETWEEN THE OWNER _____% & DRIVER _____ % )

 

 

MAJOR SPONSOR________________________________________________ CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________

 

 

SPONSOR_______________________________________________________CITY____________________________