Printable Entry Form

HOW TO ENTER: Fill out this form and return entire sheet to River Styx Market with your entry fee of $30. Deadline is February 16th, 2008.

RIVER STYX MARKET      7958 Wadsworth Rd.    Medina, Ohio 44256

(330) 336-7560         fax (330)334-2273          E-mail: RSMarket@neo.rr.com

 Website: www.riverstyxcollectibles.com

             Car#                Drivers Name               Value     Race Club No.                Ref No.FC         

Car 1                                                                                   Name:                                                 

Car 2                                                                                   Team Name:                                       

Car 3                                                                                   Address:                                              

Car 4                                                                                                                                              

Car 5                                                                                   Phone No.                                           

Car 6                                                                                  

Car 7                                                                                        Date Paid                Clerk              

Car 8                                                                                              Cash / Check / Charge       

1/14/08                                 Team Total                              #                                         CVV#           

Exp___/___