2007 Greene
County Fair
Stanardsville,
VA
Aug. 4th -- Saturday -- 7:00 P.M.; Gates Open 4:00 P.M.
AUTOMOBILE
DEMOLITION DERBY
RAIN OR SHINE
EVENT
TOTAL$1000.00
PURSE
OFFICIAL
ENTRY BLANK This
is Your Car Number
(Please
Print)
NAME ______________________________________
AGE__________ DATE OF BIRTH ________________
Month/Day/Year
DRIVER'S
LICENSE NUMBER ______________________________ EXPIRATION DATE ___________
ADDRESS __________________________________________________________________________
CITY, STATE,
and ZIP _________________________________________________________________
E-MAIL ADDRESS
____________________________________________________________________
I HAVE
READ THE RULES AND WILL ACCEPT THE DECISION OF THE JUDGES AS FINAL AND
ELECT TO USE THE GROUND OR TRACK IN ITS PRESENT CONDITION.
DATE ___________________
SIGNATURE _____________________________________________
PHONE NUMBER
______________________ CELL # ____________________________
Please
indicate what type of Vehicle you will be entering (mark all that apply).
Remember the entry fee is $25.00 per Vehicle entered.
Example Driver with 2 cars cost would be 2 x $25.00 = $50.00
SAT.
AUG 4, 2007 4 Cyl _____________ V
6 _______________ V 8 _________________
TOTAL
NUMBER OF CARS ENTERED
___________
x $25.00 = ____________
MAIL
TO: STONEY ROBERTS PROMOTIONS, INC. C/O GREENE CO. FAIR
ATTN: Richard Durrer, P.O. BOX 153, STANARDSVILLE, VA 22973
Best Appearance Theme HARLEY DAVIDSON MOTORCYCLES
FOR
INFORMATION CALL TOLL FREE 1-888-361-5767
or CONTACT DICKIE DURRER 1-434-985-7622
Fairgrounds
located on Rt. 230 approx. 3-1/2 miles north of the intersection of
Rt. 33
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