4.40 BAD BOYZ 2021 POINTS FUND NAME:__________________________________________________________________________ ADDRESS:_______________________________________________________________________ ________________________________________________________________________________ PHONE:_________________________________________________________________________ CAR NUMBER ___________________________________________________________________ CAR YEAR, MAKE, MODEL:_________________________________________________________ CHASSIS BUILDER _______________________________________________________________ TYPE OF POWERPLANT ___________________________________________________________ SPONSORS:_____________________________________________________________________ NICKNAMES FOR DRIVER, CAR, CREW? ________________________________________________________________________________ ________________________________________________________________________________ PAST ACHEIVEMENTS_____________________________________________________________ ________________________________________________________________________________ ____________________________________________________________ MAKE $100 CHECK PAYABLE TO: 4.40 BAD BOYZ MAIL TO: STACY RODERICK 530 RIVER POINTE CIRCLE CHARLESTON, TN 37310
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