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DRIVER REGISTRATION

$25 REGISTRATION FEE
CROWN VIC IS EXEMPT

Report Earnings To:

Please Choose One:
Choose One:
TAX INFORMATION

PLEASE LIST EXACTLY HOW YOU WANT YOUR EARNINGS FOR THIS CAR TO BE REPORTED IF THE INFO IS THE SAME AS THE DRIVER INFO YOU CAN PUT "SAME AS ABOVE" PLEASE LIST YOUR SOCIAL SECURITY OR EIN# ON THE BOTTOM LINE

Class

The $25 Registration Fee can be paid through Venmo @Tammy-Lieurance, in person at the mall show or on your first day of racing at the pit shack. Crown Vic class does NOT have a registration Fee.

Thanks for registering.

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