2008 Delta Speedway Driver Membership
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Driver Name
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Birthday
*
Age
*
Address
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City
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State
*
Zip
Parent Name (If Driver is a minor)
*
Social Security Number
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Phone (Home)
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Phone (Work)
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Emergency Contact (Name and Phone Number)
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Driver Bio
Please submit a picture to be put on our website with your Driver Bio.
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Is Driver a Rookie for the 2008 Season?
Yes
No
Car Information
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Class
Junior Sprint
600cc 3/4 Restrictor
600cc Non Wing
250cc
600cc Multi
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Car Number
Trailer Length
(Required for those who purchase outside pit spots)
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Sponser Information
Payment Information
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Purchase:
Driver Membership ($100)
Inside Pit ($50)
Outside Pit ($100)
Please make check payable to
Delta Racing
and send to:
Delta Racing
17333 Comconex Road
Manteca, CA 95336
*
Indicates Response Required
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