MIKE & MICHELLE STOLARCYK’S CARS AND TRUCKS

AUTOMOTIVE SALES – WHITNEY POINT, NY

(607) 692-4123

 

2012 Southern Tier SpeedWorld – 607-595-4100

Email:  SouthernTierSpeedworld@yahoo.com

 

******official race car entry form******

 

Note to all exhibitors/participants:  Please fill this form out COMPLETELY and send it, with your entry fee to:  Race of Champions – P.O. Box 2828 Binghamton, NY  13902 – att: Dan Harpell.

 

ENTRY FEE:  $40 if postmarked prior to February 10, 2012 (full size race car)

                        $50 if postmarked on or after February 10, 2012 (full sized race car)

            NO Entries will be accepted after February 19th, 2012.  The mall requires a count!

            Small Car Entry Includes:  Microds, micros, go karts…

SMALL CAR ENTRY FEE:     $30 if postmarked prior to February 10, 2012

                                                $40 if postmarked on or after February 10, 2012

Please make check or money order payable to Race of Champions…Entries may also be dropped off at Doug’s Speed Shop prior to Februrary 19th, 2012. 

 

All vehicle displays MUST adhere to guidelines provided by the Oakdale Mall regulations and requirements.  There are NO exceptions to this.  Any mall regulations are beyond our control and absolutely must be adhered to without exception.

- No displays or backdrops can exceed 6 feet in height.

- Absolutely NO pop up tents of any kind will be allowed. 

 

By filing this entry, you are releasing to Southern Tier Micro Reality Racing, Inc. dba Race of Champions the right to use your name and vehicle’s likeness in any promotional materials and advertising without claim to additional compensation.  You also agree to all show regulations/requirements as necessitated by mall staff and show officials. Failure to follow these rules will result in the dismissal of your group/display without refund or opportunity to participate in future events.

 

ENTRY FEES ARE NON-REFUNDABLE!

 

DRIVER/PARTICIPANT NAME:____________________________________________________

 

TYPE OF RACE CAR/HOME TRACK:_______________________________________________

 

ADDRESS:  ______________________________________________________________________

 

CITY/STATE/ZIP: ________________________________________________________________

 

HOME PHONE:  ___________________________  CELL PHONE:  ________________________

 

EMAIL ADDRESS:  ________________________ DRIVER WEBSITE:  ____________________

 

FACEBOOK UPDATES REGARDING THE SHOW WILL BE MADE THROUGH THE FIVE MILE POINT SPEEDWAY HOSTING SITE...PLEASE BE SURE TO FILL OUT ALL ABOVE INFORMATION TO INSURE THE LATEST INFORMATION REGARDING ANY WEATHER ISSUES OR SCHEDULE CHANGES….SCHEDULE SUBJECT TO CHANGE…

 

SOUTHERN TIER SPEEDWORLD is presented by MIKE & MICHELLE STOLARCYK CARS & TRUCKS IN WHITNEY POINT, NY…SOUTHERN TIER SPEEDWORLD show coordinator/manager is Dan Harpell…