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ON TRACK VENTURES operating asVARNEY INTERNATIONAL SPEEDWAYGRAND BEND INTERNATIONAL SPEEDWAY 2020 Registration ApplicationJr Late Model Jr Mini Truck Jr Sprint Kid Stock Outlaw Sprint Fun Stock Mini Truck Thunder Truck Street Stock Legend Crazy Trains Super Stock Vintage Late Model Late Model Mini Stock Car Number: ________Train Set Name: _____________________________________________ OWNER: ______________________________________________________________Address: _____________________________________________________Hometown: ______________________________ Province: _________ Postal Code:_________________ Phone #1: ______-_______-___________#2:______-_______-____________DRIVER (payout recipient):_______________________________________________________________Address: _____________________________________________________Hometown: ______________________________ Province: _________ Postal Code:_________________Birthdate: _________________________Phone #1: ______-_______-___________#2:______-_______-____________CONTACT Email:________________________________________________________________________________VEHICLE Make: ____________________ Model: _________________________ Year: ____________Engine information: SEAL#_____________SERIAL#____________________________________________Cyl./Size/Model/Extras__________________________________________________________________SPONSORS: 1___________________________________________4________________________________________2___________________________________________5________________________________________3___________________________________________6________________________________________ TEMPORARY REGISTRATION: $10 FULL SEASON REGISTRATION:TOTAL AMOUNT $225.00 + HST ($29.25) = $254.25 Cash Cheque Email Transfer Signature of OTV Administration: ________________________________________________________Date: ____________________,20202020 OTV Member Signature: ___________________________________________________________ ................
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