Northwest Pro4 Alliance

2008 Participant Registration 2008

Annual Registration Fee: $25.00

Registrations received by 3-31-2008 will have their car number reserved for 2008.

All registrations received by 3-31-2008 will receive the new Northwest Pro4 Alliance T-shirt FREE.

By registering with the Northwest Pro4 Alliance, you agree to allow the series to use your likeness, photos and video tape of you and your race car to promote the series and all race events.

Fees collected will be used to promote the Northwest Pro4 Alliance Series in our efforts to obtain sponsorship, race dates, cover expenses and to make your racing experience a fun and exciting one. Your support is greatly appreciated.

Send this completed form and your check or money order made payable to:

Northwest Pro4 Alliance at 713 18th Avenue, Lewiston, ID 83501

Name:

Age:

Mailing Address:

City:

State:

Zip:

Phone: Fax: Email:
Name of Emergency Contact: Relationship:
Primary Phone: Alternate Phone:
Applicant is: Driver Non-Driver Years Racing: Rookie – (Less than 5 starts in a Pro4 car) Yes No
Make of Race Vehicle/Body style: Car Number: Alternate Car Number:
Engine Make & Size: No. of years in Class: T-shirt Size:
Sponsors:
Add on back if needed
Signature