ENTRY FORM FOR
BPG MOTORSPORTS SOUTHERN TIER OPEN

*358 MODIFIED ENTRY FEE IS $35 IN ADVANCE OR $50 DAY OF SHOW
*SPURE STOCK & FOUR CYLINDER STOCK ENTRY FEE IS $30 IN ADVANCE OR $35 DAY OF SHOW
ENTRY FEE INCLUDES DRIVERS ADMISSION TO PITS

**PLEASE FILL OUT ENTIRE ENTRY BLANK**

NAME:__________________________

STREET:__________________________

CITY:__________STATE:___ZIP:_______

PHONE NUMBER: (___)___-____

DIVISION:___________________

CAR NUMBER:________________

HOME TRACK:________________

CAR OWNERS SOCIAL SECURITY OR TAX ID NUMBER:____________________

CAR OWNERS INFORMATION:

NAME:___________________________

STREET:_________________________

CITY:__________STATE:___ZIP:_____

MAKE CHECKS PAYABLE TO:
POINT MOTORSPORTS, INC.,
P.O. BOX 408
KIRKWOOD, NEW YORK 13795
607-775-5555