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2003 Proxy Race Entry Form

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2003 Proxy Race Entry Form
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2003 American Le Mans Proxy Race
 
Entrant Details                                                 Car Details
 
Name________________________           Body Type_________________
 
Address______________________            Body Mfr._________________
 
City_________________________            Chassis___________________
 
State________________________              ________________________
 
Country______________________             Front Wheels/Tires__________
 
Zip Code_____________________             Rear Wheels/Tires__________
 
Email Address_________________              Gears____________________
 
Phone # (_____)_______________               Ratio____________________
 
Notes (comments on body or chassis)
 
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 
Entry fee is $15.00 US or single car and $5.00 for each additional car..
 
Mail you cars to
 
Chris Briggs
9620 Bean Hill Rd.
Honeoye Falls, NY 14472

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