Tennessee Slammers and Bangers Demolition Derby


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Entry Form for TSB Demo Derby


Entry Fees

Entry Fee:  $35.00 Per Day
(If received 1 week before race...after that $45.00 Per Day)
Pit Passes:  $15.00
Roof Numbers:  $15.00

Send check to:

John Brown
130 John Brown Lane
Fall Branch, TN  37656


Name:        ___________________________________________
SS#:           ___________________________________________
Address:     ___________________________________________
City:            ___________________________________________
State:          _____________________Zip:    _________________
Phone:        ___________________________________________


Place an 'X' on the event you wish to enter.

 

Walter State                         ______            February 6 2010................1980 or newer cars......*40 Cars Only*

Appalachian Fair                  ______            August 26 2010..................Front Wheel Drive 4-6 Cyl Cars Only

Appalachian Fair                  ______            August 27 2010..................Regular Cars

Appalachian Fair                  ______            August 28 2010..................1980 or newer cars

TN Valley Fair                       ______             September 13 2010..............Front Wheel Drive 4-6 Cyl Cars Only

TN Valley Fair                       ______             September 14 2010..............Regular Cars

TN Valley Fair                       ______             September 15 2010..............1980 or newer cars


I need to buy car #________ for $15.00.

I would like car #:   1st choice______, 2nd choice______, 3rd choice______.

Mail check to John Brown