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2008 SWDBA RACE
SEASON MEMBERSHIP REGISTRATION
Membership Expires
1/31/09
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NAME
LAST FIRST |
DATE OF
BIRTH (MM/DD/YYYY)
/ / |
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MAILING
ADDRESS
STREET/P.O. BOX |
CITY |
STATE ZIP CODE |
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CONTACT
INFORMATION
( ) ( )
( )
PHONE HOME PHONE WORK PHONE CELL
EMAIL ADDRESS |
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BOAT
INFORMATION |
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NAME OF
BOAT
|
BOAT
NUMBER
|
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BOAT
HULL NAME
|
YEAR OF HULL |
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ENGINE TYPE |
SIZE |
MAKE |
YEAR |
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DRIVER’S
NAME
LAST FIRST |
OWNER’S
NAME
LAST FIRST |
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DECLARED
MPH CLASS
[ ] 50-60 [ ] 60-70 [ ] 70-80 [ ]
80-90 [ ] 90-100 [ ] 100-110 [ ] OTHER
___________ |
2008 MEMBERSHIP
FEE*: $75.00 if paid by June 29, 2008, $100.00 late
registration
*Registers 1
boat with 1 driver; Owner and driver do not have to be the
same; 2nd driver for same boat in
a DIFFERENT CLASS +$75.00 ($100.00 after June
29th). Membership includes:
1 Rule Book, License, Newsletters, Voting Privileges,
Discounts, Points and Awards.
2
SWDBA Officer Use Only Date Received:
_______________________________
[ ] Full Membership (Driver and/or Owner) Amt. Paid
$________________ Ck #______________
[ ] Associate Membership Amt. Paid $________________ Ck#
______________
[ ] 1 Boat Team (1 boat-2 drivers-2 classes) Amt. Paid
$________________ Ck#______________
008 Associate Membership
Fee: $50.00 if paid by June 29, 2008, $75.00 late
registration (fee may be applied to full membership later in
year). Membership includes: 1 Rule Book, Voting Privileges,
and Newsletters.
Membership Frm
06/08
.
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