
2010 RACE WEEKEND
Feburary 5-7, 2010
LOCAL CAR REQUEST FORM
NAME _________________________________________________________________
ADDRESS _______________________________________________________________
________________________________________________________________________
PHONE _________________________________________________________________
EMAIL ADDRESS _________________________________________________________
CAR # __________________________________________________________________
CAR CLASSES ___________________________________________________________
CAR
DIMENSIONS:..WIDTH __________________________FEET
LENGTH ______________________________________FEET
NAME OF TRACK WHERE YOU RACE:
_______________________________________________________________________
Please make sure that all of the requested information is complete
Please submit your information by, January 19 to:
Shippensburg Speedway inc, 178 Walnut Bottom Rd, Shippensburg, Pa 17257 Ph: 717-532-8581
Or
Chambersburg Mall Marketing Office, 864 Chambersburg Mall Chambersburg , PA 17201 Ph: 717-263-5797