Yes, sign me up for Summit SuperSeries!
Your $65.00 gets you: IHRA Membership, Competition License & Number,
Subscription to Drag Review Magazine (23 issues), IHRA Patch, Decals,
and Excess Medical Insurance.
(Canadian Memberships please add $50 for postage & handling)
Name: __________________________________________
Address: _________________________________________
City: _________________ State : __________ Zip: _______
Phone: ____________________ SS#: __________________
Credit Card #: __________________________ Exp: ______
Print name on credit card:_____________________________
Signature for credit card: _____________________________
____Check _____ Money Order _____ Cash
Track Name: _____________________________(must Declare)
Current Car Number: _______________
Box: _____________ No Box: ______________(must check one)
All competitors must have Competition License Form accompany this application. If you run 11.00 and slower in the ¼ mile (7.00 in the 1/8 mile) you will only need to fill out the top half of this form. If you run 9.99 and quicker in the ¼ (6.49 and quicker in the 1/8 mile) you will need to have and track official and 3 IHRA licensed drivers witness your passes and sign off or enclose a copy of your NHRA license.
You can mail both forms to: IHRA Memberships, PO Box 708 ,
Norwalk , Ohio 44857 or fax them to: 419-668-6601 .