Please click submit at the bottom of the page. If wish to mail this, print the completed form, and mail it to Rene' Johnson.
Mail to:
G\CDRAG
c/o Rene' M. Johnson
194 Hidden Valley Trail
Barnwell SC 29812
Class:
7.0 6.40 5.70
Name:
First Name Last Name
First Name
Last Name
(You may sign as a team but, the points will all go to Name1.)
Name 2 (First & Last):
Mailing Address:
Street Address Address (cont.) City State/Province Zip/Postal Code
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Email Address:
E-mail
Vehicle:
Year Model Make Engine(CI)
Year
Model
Make
Engine(CI)
Sponsors:
Agreement:
I agree to run any sponsor decals on my race vehicle that are sponsoring G\CDRAG and I agree not to hold G\CDRAG responsible for any incident or accident that may occur while participating in an association race.
I Agree I Disagree
