![red_color_bar[1].gif (1960 bytes)](Body/red_color_bar1.gif){kind=small}
Please Print the Form and Mail to the PO Box Below Name: ______________________________________________________________ Address: ____________________________________________________________ City, State, Zip: _______________________________________________________ Phone (home): _________________________ (work): __________________________________ Email: ________________________________ Fax: ____________________________________ Date of Birth: __________________________ Drivers License: __________________________ State: ________ Paid Check #: ___________ Amount: _____________________ Card #: _____________________________ Mastercard - Visa - Discover Expiration Date: ___________ Exact Name on Card: ___________________________________ Sizes for Safety Gear • Height: _______ • Weight: _______ • Helmet Size: _______
Applicant’s Signature: ______________________________________ Date: ________________ |
|
or
Rookie Test Drive• Drive 15 Laps - $ 375.00 Extended Test Drive• Two 16 Lap Sessions • Drive 32 Laps - $ 700.00
Saturday Night Feature• Three 15 Lap Sessions • Drive 45 Laps - $ 1135.00 Competition Drive• Six 15 Lap Sessions • Drive 90 Laps - $ 2226.00 Victory Lane Drive• One-on-One with Your Instructor • Drive 50 Laps - $ 2544.00 Date(s) Requested:____________________________________________________ |
Drive to Victory Lane PO Box 60 Thompson, CT 06277 ----- Toll Free: 1-877-Race-4-Fun (722-3438)Email:
kbrace4fun@yahoo.com
|
