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Print and Mail Registration Form

 

Woodbooger Demolition Derby

Name_________________________________________________

Address_______________________________________________

City____________________State__________ZIP____________

Phone________________________________________

E-mail Address__________________________________________

Number of cars entered: 4 cyl _____ 6 cyl _____

8 cyl _______ Modified ______$100.00 Entry

Car Number(s) ________________

Please mail your $150.00 entry fee, Money Order or Bank Check (No Personal Checks) to:

Eileen Mann
283 Broadway
Taunton, MA 02780

If you have any questions please call Jim or Eileen at (508)880-8941
Jim (508)577-6850