KMS ENTRY FORM OCT 2ND RACE

DRIVERS NAME________________________________________________

CAR#_________________________________________________________

ADDRESS_____________________________________________________

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SPONSORS____________________________________________________

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CAR MAKE AND MODEL__________________________________________

ENRTY FEE IS $50.00 PER CAR UP TO SEPT. 27TH. IF ENTRY FEE IS NOT RECEIVED BEFORE THE 27TH THE FEE INCREASES TO $75.00 PER CAR. PIT ADMISSION EXTRA.

PIT ADMISSION IS $25.00 PER PERSON.         SEND ENTRY FORM TO KMS  6360 BOSTON SPUR RD.  PHILPOT KY,42366