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ENTRY FORM
TENNESSEE SLAMMERS BANGERS
I need to buy a car # ___________________For $15.00
I would like car # _______1st ________2nd________3rd
************************************************************************* Name:________________________________________________________
Address:______________________________________________________
City/ Zip:______________________________________________________
Phone:_______________________________________________________
Social Security Number:_________________________________________
Please make all checks payable to John Brown, and mail to:
130 John Brown Lane,
Fall Branch Tennessee 37656
You can contact John at 423-534-9563
If your check is returned by your bank for any reason, you will lose your entry and you will be required to pay an additional $30.00 fee, plus the original entry fee for re-entry.
I have read the rules and regulations and understand them, and by signing this form I agree to the rules and regulations and will comply with all of them.
Signature:____________________________________________Date:________________
TENNESSEE SLAMMERS BANGERS
I need to buy a car # ___________________For $15.00
I would like car # _______1st ________2nd________3rd
************************************************************************* Name:________________________________________________________
Address:______________________________________________________
City/ Zip:______________________________________________________
Phone:_______________________________________________________
Social Security Number:_________________________________________
Please make all checks payable to John Brown, and mail to:
130 John Brown Lane,
Fall Branch Tennessee 37656
You can contact John at 423-534-9563
If your check is returned by your bank for any reason, you will lose your entry and you will be required to pay an additional $30.00 fee, plus the original entry fee for re-entry.
I have read the rules and regulations and understand them, and by signing this form I agree to the rules and regulations and will comply with all of them.
Signature:____________________________________________Date:________________