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4th Annual Crashin' For The Cause
September 22, 2007
W9975 Olden Road
Pickett, WI

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Entry Form - 2007

Mail Entry Form To:

Joe Kopf
W9261 Cty Rd N
Eldorado,WI 54932

$5,000 to win
Open to all cars
EXCEPT IMPERIALS.

Plus Truck Demolition Derby

Payout is based on a minimum of 50 car entered.

Start time - 1:00 PM
Gates open @ 9:00AM

ENTRY FEE:

$125 (before 09/01 for cars)
$175 (after 09/01 for cars)
$50 (before 9/1 for trucks and compacts)
$75 (after 9/1 for trucks and compacts)
Pit Passes:  $20

Stock 80's & Newer Full Size Car
Entry Fee $125, after 9/1/07 $175
This class will consist of qualifying heats, a consolation & feature event.
Guaranteed - Payout based on 50 cars.
1st $5000
2nd $2500
3rd $1500
4th $1000
5th $ 500

If there are 40-49 cars the guaranteed payout is:
1st $3500
2nd $1500
3rd $1000
4th $750
5th $250

Pro Trucks: One heat go!
Entry Fee $50, after 9/1/07 $75
1st $500
2nd $200
3rd $100
Payout guaranteed regardless of car count.

Pro Full Size Car: One heat go!
Entry Fee $50, after 9/1/07 $75
1st $500
2nd $200
3rd $100
Payout guaranteed regardless of car count.

Stock Mid Size Car:
One heat go! Entry Fee $50, after 9/1/07 $75
1st $300
2nd $200
3rd $100
Payout guaranteed regardless of car count.

Combines:
Call Steve Heitman for details at 612-741-5941.

There will be some vendors setting up as well. We are looking for and welcome other vendors, however you must register with I.M.P. first. Contact Jay Anderson at 651-792-5446 or email to janderson@impdemoderby.com if you would like to set up a booth. There is no additional charge for being a vendor.

Drivers Name_________________________________
Date of Birth_____________
Drivers License Number_________________________
Address________________________ City __________
State_______ Zip________

Home Phone_______________________
Work or Cell Phone________________________

Demo Derby class you are running in:_________________
Entry Number Requested__________
Year/Make/Model of car___________________
Color of Car________________ Sponsors_________________________________
I have received a copy of all rules & regulations & agree to abide by all said rules as stated.
Signature___________________________________ Date____________________

Click Here for a PDF Version to download and print.

Click Here for a Word Document to download and print.

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