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  CLASSIC GASSERS LLC



                     Membership Application



Name________________________________________________

Address______________________________________________

City________________State_______________Zip___________

Phone #_________________E-Mail_______________________


Car Info: Year________Make___________Model___________

Engine_______________Induction________________________


Transmission__________________________________________


Class: A/GAS (5.30)____ B/GAS (5.99)____ C/GAS (6.99)____

Home Tracks__________________________________________


Dues for Racing Members are $75.00 /per calender year.


$25.00/per calender year for Non-Racing Members.

Membership cards will be required for entrance into a Gasser

Event, and to
recieve any Payouts.

T-Shirts (one per membership)... Size______________

Car Decals

Print this form and Send Check or Money Order to:

Classic Gassers LLC

51 Bear Ridge Estates

Swannanoa, NC   28778

(828)-296-9833

wileycoyote@bellsouth.net








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