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JOIN THE 2004 RICHMOND
DRAGWAY - DOWNLOAD DOC
REGISTRATION
INFORMATION SHEET - DOWNLOAD DOC
7239 Creighton Road
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Mechanicsville, VA 23111
804-737-1193 Racer’s Hotline
www.richmonddragway.com jdavis@richmonddragway.com
Finish Line Club presented by Advanced Engine Design
& RTS Construction
Points Registration Fees:
□ $50 for Top
ET (0-7.99 1/8 mile)
$40
for Mod ET (9.00-17.00 ¼ mile)
$25
for Jr Dragster (8&9 -12.90-slower,
10-17-8.90-slower, 12-17 -7.90 –slower ML)
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PRIMARY DRIVER INFORMATION – All Information
in this Box is Required
First Name
Last Name
Social Security #
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Street Address
City
State
Zip Code
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Home Phone |
Work Phone |
Age |
Email Address |
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COMPETITION VEHICLE INFORMATION – All
Information in this Box is Required
Vehicle Year
Make (ie Chevy, Ford
etc.)
Model (ie Camaro,
Mustang)
Engine (ie 302, 454)
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OPTIONAL ADDITIONAL INFORMATION
Spouse/Girlfriend or Boyfriend
Your Birthday
Your Occupation
Car Sponsors
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SECONDARY DRIVER INFORMATION
First Name
Last Name
Social Security #
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Street Address
City
State
Zip Code
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Home Phone |
Work Phone |
Age |
Email Address |
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FOR TOWER/OFFICE USE ONLY DATE Reg in TS
Comp # Official |
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ML Y N
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PD Y N
/ / |
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