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Community Connection of Sauk Centre

Demolition Derby Registration

Stearns County Fair July 26th 27th & 28th 2012 Driver's Name_______________________________________________________ Address_______________________________e-mail________________________ City, State __________________________________________Zip_____________ Telephone______________________________________SSN________________ Vehicle Information Make ___________________ Year ____________________ Model _____________________ Number ____________________

Please fill out one form per vehicle per night ­ make copies as needed

Chain Class Thursday Modified Trucks Friday Modified Light __Saturday Sponsors

Mini Trucks/Vans Thursday Mini Trucks/Vans Friday Chain Class Saturday

Modified Light Thursday Modified Heavy Friday 80's & Newer Saturday

80's & Newer Thursday Outlaw Cars Friday 4-Cylinder Saturday

Registration fee is $50.00 Pit crew are $15.00 each. Same car on successive nights $40.00 Please make checks payable to "Community Connection of Sauk Centre" Please List Names Of Pit Crew ______________________________ _______________________________ _____________________________ _____________________________

Mail Registration To: Demolition Derby 2012 Community Connection 523 Sinclair Lewis Ave Sauk Centre, MN 56378

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Community Connection of Sauk Centre

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