Be sure to fill out all boxes. After data is successfully submitted, proceed to the second part of the entry form below.
*
First & Last name
*
Address 1
Address 2
*
City
*
State
*
Zip
*
Contact Phone number
*
Your Email
(Updated info for event & DVD / confirmation of receipt)
*
Car Class - 1st Entry
1/10 NasCar 4-cell Stock
1/10 NasCar 4-cell 19T
1/10 NasCar 4-cell Mod
*
Freq 1
*
Freq 2
Freq 3
Car Class - 2nd Entry
1/10 NasCar 4-cell Stock
1/10 NasCar 4-cell 19T
1/10 NasCar 4-cell Mod
Freq 1
Freq 2
Freq 3
Car Class - 3rd Entry
1/10 NasCar 4-cell Stock
1/10 NasCar 4-cell 19T
1/10 NasCar 4-cell Mod
Freq 1
Freq 2
Freq 3
*
Shirt size
Small
Medium
Large
X Large
XX Large
XXX Large
Any comments:
*
= required fields