2011 NELMA Legends Car Fall Classic Signup

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2011 NELMA Legends Car Fall Classic Note: All fields are required
2011 NELMA Legends Car Fall Classic - Saturday, October 22, 2011 at Mountain Speedway, St. Johns, Pa. Entry Fee: $65 (includes driver pit entry) due Monday, October 10, 2011. Questions? E-mail info@nelmaracing.com or call (516) 330-9737 NOTE: Mountain Speedway uses AMB transponder scoring. There will be a registration fee for drivers using their own transponders. Rental units will be available. Brackets will also be available for purchase.
Home Series/Track:
Car Number:
Car Owner (Full name):
Crew Chief (Full Name):
Main Sponsor:
Associate Sponsors:
Body Style - Make/Model (i.e., Chevrolet Monte Carlo):
Driver
Driver:
Hometown:
Date of Birth:
Championships won/Significant racing accomplishments:


Driver Phone Number/E-mail:
Name of Person Filling out this Form:
E-mail address:

By clicking "submit info," the driver, car owner, and their entire team agree to abide by NELMA and Mountain Speedway's rules and regulations.
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