Form
Carolina Mini Stock Challenge North Wilksboro Entry
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Number of Tires Requested (Hoosier 800)
Car Number
Make
Model
Engine Declared
Carb or EFI
Engine CC
I have read the CSMC rule book and understand that cars outside of this rule set may not be allowed to compete.
*
YES
I understand this race has a limited field of starting cars and will not receive a refund on any monies paid if I do not make the field.
*
YES
W9 Upload (You may turn in at the track on race day)
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Product Name
CSMC North Wilksboro Entry
$75.00
$
75.00
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