July 1, 2023 - Thunder Road Harley-Davidson 200 pres. by Grand Atlantic Ocean Resort Entry Form
Sentara Late Model Stock Car Entry Information
Driver Name
*
First Name
Last Name
Nickname
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Hometown
*
City and State
Car Number
*
Please Select
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We understand that there will be duplicate numbers. Priority will go to South Boston competitors. A letter added or number change may be required by Timing & Scoring for other cars.
Car Make
*
(ex. Toyota)
Car Model
*
(ex. Camry)
Sponsors
*
Please list in order of primary to secondary and so on.
Please complete financial info
If you have not, please complete a driver information packet or W-9 to get paid. You can complete the driver information packet digitally at southbostonspeedway.com/competitor-info or a W-9 by visiting the IRS website.
Submit
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