STREET ADDRESS:___________________________________________________
CITY: ________________________STATE:____________ZIP:__________
PHONE:_______________________________________________
EMERGENCY
PHONE # :__________________________RELATIONSHIP:_______________
E MAIL
ADDRESS :__________________________________________________
SLED NUMBER CHOICE : 1st______________2nd______________
(Based on Availability)
(NUMBERS HAVE TO BE NO MORE THAN 3 DIGITS WITH NO
LETTERS)
MEMBERSHIP FEE
YEARLY MEMBERSHIP PER RACER-------------$40 YEARLY
NON RACER PIT CREW PER MEMBER----------$20 YEARLY
DATE:_____________
MEMBERS SIGNATURE___________________________________
DATE:_____________
PARENT SIGNATURE IF NEEDED___________________________
WITH RECEIPT OF DOCUMENTS WE WILL MAIL YOU A MEMBERSHIP CARD WITH A SLED NUMBER WHICH YOU ARE TO BRING TO ALL EVENTS AS PROOF MEMBERSHIP.
MAKE CHECKS PAYABLE TO: MRRSIDR LLC
MAIL THIS DOCUMENT ALONG WITH CHECK AND SIGNED WAVER DOCUMENT TO:
MRRSIDR
PO BOX 412
HILLSDALE MI 49242