BUICK RACE DAY 2004 PRE-ENTRY See you in September! Rescheduled to September 12th

Sunday, September 12th
$25.00/Car & Driver in advance (Before August 28th)
$35.00/Car & Driver at the gate, day of race
$8.00 Spectators/Pit Crew (race day)

NAME: ____________________________________________

ADDRESS:_________________________________________

CITY/STATE/ZIP:____________________________________

PHONE:___________________________________________

EMAIL: ____________________________________________

DESCRIPTION of the Buick or Buick-powered car that you will be RACING:
Year_____Model_______________Engine____________ET:________
Delay boxes allowed only in Quick 16.
Quick 16 Entry on Sunday (circle one)     YES     NO
($10 entry fee, day of race, to qualify, non refundable, guaranteed payout if 16 cars enter)

Amount Enclosed:

For Sunday Only     $25/Car # of Cars____     $__________/ Race Car & Driver
            $8/Spectator # 0f Spectators______     $__________/Spectator                                                                 

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO: Roberta A. Vasilow

MAIL TO: Buick Race Day 2004
c/o Roberta Vasilow
6186 Torrey Rd.
Flint, MI 48507-5954
You will receive a confirmation card in the mail.
You must present this card at the gate - so don't forget it!!!
 If you do not receive this card prior to the event, please contact Roberta
at (810)655-8277