Super Nationals Race Entry Form
Or your can download the .pdf version here (acrobat reader required)
Print and fill out this form. Return and make checks payable to: Boone Speedway,

c/o G&S Racing Inc.
8875 NW Polk City Dr.
Ankeny, IA 50023

or call 515-964-4124.
 
First Name Initial Last Name
 
Address   Daytime Phone
 
City State Zip Code
 
SS#
 
Modified $40.00 Entry Fee
Car # 1st Choice____ 2nd Choice___ 3rd Choice___
Late Model $50.00 Entry Fee
Car# 1st Choice____ 2nd Choice___ 3rd Choice___
Sprint Car $25.00 Fee
Car # 1st Choice____ 2nd Choice___ 3rd Choice___
Stock Car $25.00 Entry Fee
Car # 1st Choice____ 2nd Choice___ 3rd Choice___
Hobby Stock $25.00 Entry Fee
Car # 1st Choice____ 2nd Choice___ 3rd Choice___
SportMod $25.00 Entry Fee
Car # 1st Choice____ 2nd Choice___ 3rd Choice___
Please Enter me in the (check one)
___ Dirt Works Ron Efkamp Memorial Modified Race of Champions
___ Sunoco Race Fuels Stock Car Race of Champions
 
Eligibility Requirements: Past I.M.C.A. National Champions, Past I.M.C.A. Regional Champions, Past I.M.C.A. Super National Champions, Past Race of Champions winners, Current I.M.C.A. track points leaders (2nd place eligible if point leader not present). NO PAST SERIES CHAMPS OR SPECIAL EVENTS WINNERS.