| KART MARRS Pre-Reg Form |
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Click on printer icon to the right to print form, fill in & mail with check to address below.
LAKE GARNETT ROAD RACE ENTRY FORM
NAME_________________________________ Age_____ Date of Birth____/____/____
Address_______________________________ City_______________ State_______ Zip________
Phone # (______)_______-__________ Kart Membership #______________________ Exp._____ Date of Race _____________________ Class Name_______________________________ Kart#_______________ Transponder # _____________
Class Name________________________________ Kart#_______________ Transponder # ______________
Class Name________________________________ Kart#_______________ Transponder # ______________
Class Name________________________________ Kart#_______________ Transponder # ______________
Class Entry ______@ $75.00= $_____
Transponder Rental______@ $ 5.00= $_____ TOTAL $________ Signature (18 or older) _______________________________ Print Signature Name_________________________________ MAKE PAYMENT TO GARNETT KART CLUB - mail to Ron Anderegg at 504 S. Vine St, Garnett, KS 66032
Passes:
Pay at Track For information call Ron at 785-448-4537 or 785-448-6366. Brand new Hotel - Garnett Inn 785-448-6800
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