17th ANNUAL “GAS UP” and

DRY LAKES RACING HALL OF FAME

RESERVATION FORM
 

       Please print clearly so we can pre-print your Pit Pass Name tag.  Your “Gas Up” packet,
which includes pit pass, meal, drink and raffle tickets, and Souvenir Program will be waiting for you at the front gate.  If you would like to bring your race car for the outside display area, please call the club phone number listed for further information.

(Those bringing cars will receive a special "bonus").
All reservations postmarked by September 15th, 2009 are guaranteed admission at $45.00

                
Due to space limitations any reservations received after that date will be $55.00 and subject to
                 the attendance limit, so don’t be left out.  (If there will be more than 4 in your party please
                 enclose another sheet with the information requested below) 

      NOTE:  No entry refunds after September 15, 2009Text Box: Name: _________________________________________________     $________
Address: __________________________________________________
City/State/Zip: _____________________________________________
 
Name: __________________________________________________    $________
Address: __________________________________________________
City/State/Zip: _____________________________________________
 
Name: _________________________________________________     $________
Address: __________________________________________________
City/State/Zip: _____________________________________________
 
Name: _________________________________________________     $________
Address: __________________________________________________
City/State/Zip: _____________________________________________
 
TOTAL AMOUNT ENCLOSED FOR #____ AT $45.00 per person     $_________         
*A receipt for your reservation will be mailed to you for verification.
No Refunds after September 15, 2009
Note: A $60 Business Card Ad for the program PLUS $15 pays for an AD and One Reservation. (Total $75 – save $30, Business Card AD deadline is August 29, 2009) 
 
 
 
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