"South Texas Speedway" - 2011 Car Registration Form Class: Limited Modified $25 _______ Pure Stock $25 _______ Bomber $25 _______ Go-Karts $10________
Driver Name: _______________________ Mailing address:_________________________________________________ City:______________________ State:_____________ Zip:_______________ Phone # (___)-_____-______ e-mail address:____________________ Preferred Car Number ____________ 2nd Choice______________ Sponsors:_______________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ We will announce sponsors each week but we will limit the announcements to 5 sponsors. Social Security #:____________________________ Drivers Signature:_____________________________Date:____________________ By signing above the driver agrees to abide by the rules set forth by South Texas Speedway. Questions or Comments Contact: Owen Pittman @ 361-548-0669