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2009 Mexican 1000 Rally Entry Form
ENTRY FEES
4 -Wheel Classes: $875
(includes $75 annual membership)
2 & 3 Wheel Classes: $675
(includes $75 annual membership)
(see 3-Wheel Regulations in digital Rulebook)
DRIVER INFORMATION
Name:
(first)
(last)
Address:
City:
State:
Zip/Postal Code:
Phone:
Mobile Phone:
Email:
Blood Type:
Meds Allergies:
Driver:
Date of Birth:
Co-Driver:
Emergency Contact and Mobile Phone:
VEHICLE INFORMATION
GCR Vehicle Class:
Vehicle Make & Model:
Engine Make:
Displacement:
Cylinders:
Seats:
Tire Make:
Radio Frequency ID:
Vehicle Owner:
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