Date:
TEAM ENTRY FORM
Name of Team: _________________________________________________________________________
Contact Person: _________________________________ Phone #: ________________________________
Email: ________________________________________ Fax #: __________________________________
Address: _______________________________________________________________________________
City: ________________________________ State: ______________________ Zip: __________________
List of drivers:
1. _________________________Weight________ 6. _________________________Weight_______
2. _________________________Weight________ 7. _________________________Weight_______
3. _________________________Weight________ 8. __________________________Weight_______
4. _________________________Weight________ Total Weight_______ Divided by 8 = _______ave. *
5. _________________________Weight________ *Teams must have an average weight of a min. 160 lbs.
The entry fee is $400.00 per team.
Half Price for First Race when you sign up for 2 races
Please complete the above information
Call
(517) 812-0054
bring on day of race
Jackson Speedway
500 Speedway Drive
Jackson, MI 49203
Fax (517) 787-6103