2007 Membership App

2008 LORAIN COUNTY MEMBERSHIP

1-TIME YEARLY FEE  $40.00

 

 

*REGULAR EVENTS             MEMBERS   $20.00

                                   NON MEMBERS  $25.00

 

 

NAME______________________________                DATE_____________________

 

ADDRESS___________________________   CITY__________  STATE_____  ZIP_________

 

PHONE#_____________________________     SS#_____________________________

 

 

ADDITIONAL CARDS WITH NAMES, ADDRESSES, ECT.

 

 

DRIVER      CAR OWNER      PIT CREW      FAN   (CIRCLE ONE)

 

 

 

*FAVORITE DIVISION________________________________

 

*FAVORITE NASCAR DRIVER_______________________________

 

*NAME THE NASCAR SPRINTCUP DRIVER LEADING THE POINTS ON LORAIN

  CAVLCADE WEEKEND WIN 2 FREE GENERAL ADMISSION PASSES FOR

  CAVALCADE SUNDAY. ________________________________________

 

 

 

MAIL TO:   LORAIN COUNTY SPEEDWAY

                  30490 EUCLID AVE

                 WICKLIFFE, OHIO  44092

     CELL: (216) 695-3484    OR    (440) 944-8556