PRO VINTAGE RACING INC.
2008 MEMBERSHIP DUES / RENEWAL
NAME: ____________________________________ DATE:__________________
ADDRESS:__________________________________________________________
CITY:_______________________________ STATE:________ ZIP:
____________
PHONE: _______________________________
EMAIL: ________________________________
NEW: ________
RENEWAL: ________
RACING NUMBER REQUEST
1ST: _________ 2ND: _________ 3RD: _________
NUMBERS ARE A FIRST-COME, FIRST-SERVE BASIS. SOME NUMBERS ARE ALREADY TAKEN. IF AN ALTERNATIVE RACING NUMBER IS NOT LISTED, ie: 15 or 15X or 150, YOU WILL BE ASSIGNED A NUMBER.
The assigned number will be required on ALL Snowmobiles entered in PVR events. (See RULES).
PRO
VINTAGE RACING INC.
P.O.
Box 421
Strum WI 54770
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