2008 LORAIN COUNTY SPEEDWAY
CAR REGISTRATION
DATE______________
(CIRCLE ONE)
DIVISION: E-MOD SPORTSMAN STREET THUNDER TRUCK CHARGERS
1ST CAR # REQUEST _______________
2ND CAR# REQUEST________________
CAR TYPE____________________________
YEAR_________________________ MODEL__________________________
COLOR(S)_____________________ SPONSORS_____________________________
NAME__________________________ SS# OR TAX#_______________________
ADDRESS________________________ CITY, STATE, ZIP___________________
PHONE#_____________________ CELL#_________________________
CAR OWNER IF DIFFERENT_______________________________________
* 1ST COME 1ST SERVE
*NO DUPLICATE NUMBERS IN 2008
*ALL DIVISIONS $10 (MONEY TO POINTS FUND)
ONE TIME FEE BEFORE APRIL 5, 2008
MAIL TO:
TERRY ADAMS
30490 EUCLID AVE
WICKLIFFE, OHIO 44092
(216) 695-3484
