Page 12 - 2022 Fair Book

DEMOLITION DERBY ENTRY FORM

Driver Name: Address:

Phone: Email:

Driver’s License # Vehicle:

I will be driving in the Derby: ❑ Mini Class ❑ Full Size ❑ Truck

Make: Model:

Sponsors:

$50 per entry.

Pre-registration with Email Transfer to:

madocagtreasurer@hotmail.com