2008 Charity Truckers 200 weekend entry form

Divisions   [ ] Pro-Trucks ( $150.00 pre-entry ) [ ]   Super Stock    [ ]  Strictly Stock

                    [ ]    Mini-Cups  [ ]   Antique Cars    [ ]   Legends    ( Check a box )  

Name ___________________________________Car # ____________ 


E-Mail ___________________________

Address__________________________________________________________________

City ______________________________ State _______ Zip __________

Phone No. __________________________________

Home Track ____________________________

Sponsors_______________________________________________________________

______________________________________________________________________

______________________________________________________________________

Crew Chief _____________________________

Crew Members ________________________________________________________

_____________________________________________________________________

 

Career Highlights ( Big Wins, Championships etc. ) ___________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_______________________________________________________________________

______________________________________________________________________

 

Special Message to Lacey Pate & Family ________________________________________________________________

__________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

      Mail to:
C.A.R.S. Motorsports & Racer Marketing -
812 Romano Ave , Orlando FL. 32807

                                                            PLEASE WRITE CLEARLY

    ****Truck parking order and duplicate numbers determined by order of entries received ****