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Alabama 200 Entry Form

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Alabama200EntryBlankProceduresSchedule2014

REGISTER EARLY!! Qualifying Order and Tire Selection are determined by order of PAID entries!!
Official Entry Form

50th Annual Alabama 200

September 6, 2014

Return this COMPLETED entry form

along with appropriate fees to:

Montgomery Motor Speedway

480 Booth Rd.

Montgomery, AL 36108

● Rules: See 2014 Southern Super Series Rulebook

● Procedures: See attached procedures

● Schedule: See attached schedule

Driver:_____________________________________ DOB:_________________Car#:_____________

Hometown:_______________________________Email:___________________________________

Address:_________________________________________________________________________

____________________________________________________________________

Cell:______________________________ Other Phone:____________________________________

Radio Frequency:_______________ Car Make/Model/Year_________________________________

Primary Sponsor:___________________________________________________________________

Associate Sponsors:________________________________________________________________

Career History: ____________________________________________________________________

_________________________________________________________________________________

Car Owner/Purse Paid to*:___________________________________________________________

Address:__________________________________________________________________________

____________________________________________________________________

Phone:_________________________________ SSN/TIN:__________________________________

*Entry will not be accepted without completed IRS Form W-9 for payable party

All fees are NON-REFUNDABLE and NON-TRANSFERABLE.

In signing this entry blank, both driver and car owner recognize their obligation to the public and race promoter posting the prize money and conducting this event. Therefore, the undersigned agrees to compete in the event if humanly possible unless the event is postponed, canceled, or if the car fails to qualify for the starting field. It is also understood that the Southern Super Series and/or Montgomery Motor Speedway may use the driver’s, car owners, or vehicle’s name, photo, or likeness for any and all promotional purposes as they relate to this event.

Driver/Owner Signature:________________________________ Date:_______________________

Permanent link to this article: http://www.montgomerymotorspeedway.org/50th-annual-alabama-200/entry-form/