SAGINAW NDR SUPER NOVA II REGIONAL QUALIFIER
JULY 5 & 6, 2008
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 # __________
Entry Fee: $35.00 for each racer per race and $30.00 each for additional family members.
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 or Call (989) 75-DERBY
Remember your State Flag and come have some great fun!!
(Flags will be returned to Owners.)