SAGINAW SOAP BOX DERBY RALLY ENTRY FORM

Race Dates:    Saturday   _____________________  Sunday   ____________________

Racer's Name ________________________________________Car #______________

Address ________________________________________________________________

City ___________________ State ______ Zip Code ______________ Division ___________

Daytime Phone # ________________ Night Phone # ________________Cell#____________

   Addition Racer(s)

   Name _________________________________ Car # __________  Division __________

   Name _________________________________  Car # __________  Division __________

We will have a cookout after Saturday's race.  Food donations are always greatly appreciated.

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Registration 7:30am - 8:00 am  

NDR Rules apply - Wheel Swap

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

Send Fees and Registration Form to:        SSBD

                                                                     C/O Cheryl Dietzel

                                                                     PO Box 220

                                                                     Freeland, MI 48623

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

          or Call (989) 75-DERBY

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