Autosports Northwest Rallycross Entry Form


CHAMPIONSHIP AUTOCROSS SERIES

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2008 ASNW Rallycross Event Entry Form

Event:
Name:
	Check box if address has changed since last event
Address 1:
Address 2:
City:	State: Zip:
Phone:
E-Mail:
Driver Age:	Driver License #:
	Those under 18 years of age must have written permission of parent or guardian to participate.
Vehicle:	Registered Owner:
	If you are not the registered owner, permission of the registered owner must accompany this form.
	Make: Model: Year:
	Displacement: SAE HP: Weight: License:
List all changes from stock:	(tires, wheels, engine modifications, suspension, carb, etc.) If none state "NONE".
Preferred Number:	Alternate Number:
Class:
Skill:
Member: (ASNW, SSSCC, SCCA, BMWCCA, etc.)	Yes No Note: Must be an ASNW member to receive championship points. Any sports car club membership is valid for rallycross discount.