2009 NELMA Late Model Challenge Signup

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2009 NELMA Late Model Challenge Note: All fields are required
2009 NELMA Late Model Challenge - 100 laps -Saturday, October 24, 2009 Entry Fee: $100 (includes driver pit entry) due Monday, October 12, 2009 Questions? E-mail info@nelmaracing.com or call (516) 330-9737 NOTE: Sundance Vacations 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):
Chassis Builder:
Engine Builder:
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 Sundance Vacations Speedway's rules and regulations.
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