2008 ET POINTS PROGRAM REGISTRATION FORM
(PLEASE PRINT CLEARLY & FILL OUT COMPLETELY- INCOMPLETE FORMS WILL BE
RETURNED)
NAME: ________________________________________________________________
MAILING ADDRESS: ________________________________________________________________
CITY, STATE & ZIP : _________________________________________________________________
SOCIAL SECURITY: _________________________________________________________________
(REQUIRED OF ALL RACERS INCLUDING JUNIOR DRAGSTERS)
PHONE: (_________) _________-_____________ May we release this
to other racers? Y N
EMAIL: ___________________________________May
we release this to other racers? Y N
ADULT JACKET SIZE: S M L XL 2XL 3XL
ADULT SHIRT SIZE: S M L XL 2XL 3XL
CAR/BIKE ___________________ ____________________________ ____________________
Make Model Year
NHRA Competition # _____________ Expiration Date: ____________________
NHRA
Membership # _____________ Expiration Date: ____________________
If the
above is not complete- it will be assumed you do not have an NHRA assigned competition number and/or are not a member of NHRA. This
information is critical for Bracket Finals. Racers MUST have a valid NHRA Membership to compete at the Bracket Finals.
RACE CLASS & MEMBERSHIP FEES
(PLEASE CHECK APPROPRIATE BOX)
|
|
SUPER - $80 |
|
JUNIOR MAJOR - $50 |
|
|
PRO - $80 |
|
JUNIOR INTERMEDIATE - $50 |
|
|
BIKE - $80 |
|
|
|
|
STREET SERIES - $50 |
|
HIGH SCHOOL – $30 |
CASH: ____________ CHECK: ____________ CREDIT/DEBIT CARD: __________
Received: ______________