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WALL / SK / B MOD - MODIFIED LAP SPONSORSHIP
TURKEY DERBY XXXIV

November 23 & 24, 2007

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Sponsor a lap for only $50.00. Help us to raise the roof and give the racers something back!!

100% Lap Money to go to the Racers!!!

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Circle all laps requested:

1

2

3

4

5

6

7

8

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50

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reserved

67

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reserved

77

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100

 

Company Name:
 
Contact Name:
 
Mailing Address:
 
City:
  State:   Zip:

 

Phone:
  Fax:   E-Mail:  

 

Lap Sponsorship to read:

 

1.

 

Lap #

 

 

To Read:

 

 

2.

 

Lap #

 

 

To Read:

 

 

3.

 

Lap #

 

 

To Read:

 

 

4.

 

Lap #

 

 

To Read:

 

 

5.

 

Lap #

 

 

To Read:

 

 

6.

 

Lap #

 

 

To Read:

 

 

7.

 

Lap #

 

 

To Read:

 

 

8.

 

Lap #

 

 

To Read:

 

 

Total Number of Laps Sponsored: ___________ @ $50.00= $____________ Total Amount Due

 

(Required) Signature: _________________________________________________Date:________________

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Make Checks Payable to Wall Township Speedway, LLC

Send Checks and form:

Wall Township Speedway, LLC

Attn: S. Simpson, 1803 Highway 34 South, Wall, NJ 07719

Phone: 732-681-6400

Fax: 732-681-0851

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Wall Township Speedway, LLC * 1803 Highway 34 So. Wall, NJ 07719 * Phone: 732-681-6400 * Fax: 732-681-0851