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Start your engines . . .
DRIVER ENTRY FORM

April 25, 2008

Evergreen Speedway in Monroe

5:00pm - 9:00pm

Drive your Car, Truck or Motorcycle.

Trophies & Awards for the winner of each time bracket.

Limited slots available for each. Only the first 50 paid entries received will be guaranteed.

A Driver's Packet will be mailed to you with details on the event.

3 Ways to Register

  1. Online
  2. Mail in
  3. Phone
Online registration:

Name Last, First
Email Address
Phone#
Billing Address
City, State
Zip
Participant
Credit/DebitCard
Card#
ExpDate
SecurityCode
Affiliation
Department
  

Download Driver Entry Form

To register by mail just download the driver entry from and send with payment.

Name: ________________________________________________

Mailing Address: ________________________________________

City, State, Zip: ________________________________________

Email: _____________________  Phone: ____________________

___ Firefighter/EMS Dept Affiliation: ____________________________

___ Law Enforcement Dept Affiliation: __________________________

Make Checks Payable to: RID

Send Check or Visa/MC: # _________________________  Exp: ______

Mail to: RID Domestic Violence 2720 West Marine View Drive, Everett WA 98201

Will you allow us to photograph you for a calendar? ____ Yes ____ No

Phone in registration  to 1-800-526-9979 

No refunds are available. Driver can designate a substitute from the same affiliation at anytime prior to the race.

Proceeds benefit the: WA State Coalition Against Domestic Violence.

RID - Domestic Violence
Rapid Intervention Drags: Driving to End Domestic Violence
www.riDrags.com

800-526-9979
email: riDrags@earthlink.net