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May 5th & 6th, 2007 Folsom Handcar Derby
Website Entry Form


Please print form- Fill out required information- Total correct entry fee- Mail form & entry fee to the below address- Please print clearly-

Team Name:
Contact Person:
Mailing Address:
City:
State:
Zip:
Phone Nos. Day:
Evening:
e-mail:
Entry confirmation and a complete set of rules will be sent via return mail.
Select Division:
open    Coed    Senoir's    Women    Coed Masters   

Elite    Elite Women's    Masters    Elite Masters   
T-Shirts Sizes:
( 5 shirts total ) ( Please add $ 3.00 per XX-Large shirts ordered )

 Medium   Large   X-Large   XX-Large 
Entry Fee $125.00

# of XXL Shirts X $3.00= $

Total Due $

Mail Entry Forms To:
Folosom Handcar Derby - 198 Wool street - Folosom - CA - 95630

Please make checks payables to: Folsom Handcar Derby

Deadline for receiving mailed entry form is May 3rd, 2007, entries can be
dropped off on Saturday May 5th.



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