Southern Nevada Dwarf Car Association 2008 Membership application

 

Name
Email
Address
Address
City 
State
Zip
Daytime Phone#
Home Phone #
Fax #
Car Owner
Owners Address
Car # Requested - (Note: this is subject to approval)
Alternative Car # - (Note: this is subject to approval)
Cartoon Character - (Note: this is subject to approval)
Car Year                    Make     
  Body Style 
Engine Make    Model
  C.C  
Years of Dwarf Car Racing Experience
Years as a S.N.D.C.A Member
Sponsors
Comments

Yearly Membership Fee: Driver $50.00, Associate $30.00, Pit $20.00 

                  

    

 

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