SAGINAW SOAP BOX DERBY

RALLY ENTRY FORM

Race Dates:    Saturday   _____________________  Sunday   ____________________

Racer's Name ___________________________________________________________

Address ________________________________________________________________

City ___________________ State ______ Zip Code ______________  Age _______

Daytime Phone # ________________ Night Time Phone # ______________________

Car Number ____________________  Cell Phone # ________________________

Division (Please Circle):        Stock        Super Stock        Masters

   Addition Racer(s)

   Name _________________________________ Age ________ Car # __________  Division __________

   Name _________________________________ Age ________ Car # __________  Division __________

We will have hot dogs and/or pizza after Saturday's race.  Food donations are always greatly appreciated.

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Registration 7:30am - 8:00am

NDR Rules apply - Wheel Swap

Entry Fee:  $35.00 for each racer per race and $30.00 each for additional family members.

NEW POLICY:  GET $10 OFF WITH YOUR REGISTRATION POSTMARKED TWO WEEKS BEFORE RACE ($25 PER RACER).

Send Fees and Registration Form to:        S.S.B.D.

                                                                % Cheryl Dietzel

                                                                 P.O. Box 220

                                                                 Freeland, MI 48623

For more information:  Contact Vaughn Dietzel (989) 790-7613 - home or (989) 239-1638 - cell

TO PRINT THIS FORM: CLICK ON "FILE", THEN CLICK ON "PRINT", THEN CLICK ON "OK".