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