ICE BOWL XXII DRIVER REGISTRATION FORMS
| *** PLEASE PRINT ALL INFORMATION, AND PRESENT TO DRIVER REGISTRATION. *** | ||
| DRAWING NUMBER: | TRANSPONDER #: RC# | |
| CLASS: | ||
| CAR NUMBER & COLOR: | ||
| DRIVER'S NAME: | ||
| DRIVER'S CITY, STATE, ZIP | ||
| NAME ON CARD | ||
| CREDIT CARD # (Required or $200 deposit) | ||
| EXP V-CODE | DISC MC VISA AMEX (Circle One) | |
| CELL PHONE NUMBER: (INCLUDE AREA CODE) | ** A number that you can be reached at while trackside | |
| PRIMARY PHONE NUMBER: (INCLUDE AREA CODE) | ||
| ALT. PHONE NUMBER: (INCLUDE AREA CODE) | ||
| TIRE BRAND (AR OR H) | ** Super Late Model only. (American Racers or Hoosiers) | |
| CHASSIS, ENGINE BUILDER,MAKE & MODEL | ** Super Late Model/Crate Late Model/Limited Late Model only | |
| ENGINE BUILDER: | ** Super Late Model only | |
| DRIVER'S LICENSE #: (INCLUDE STATE) | To be completed by track personnel | |