8/21/2017
Bloomington Speedway
Pre- Entry and Pit Pass Forms for Fall Sprint Car Double
PRE-ENTRY / PIT PASS PURCHASE FORM
Bloomington Speedway Fall Sprint Car Double
September 22, 2017 (Rain date September 29)
Car must be pre-entered to be eligible for posted bonus for winning both main events in either division.
Purchase pit passes in advance at $30 each and save $5 per pass. (Pit passes are $35 on race day)
PRE-ENTRY (Submit separate form for each car entered)
410 Non-wing Sprint Cars ______________ 305 RaceSaver Sprint Cars _______________
Entrant Name: _____________________________________________________________
Address: __________________________________________________________________
Car Number: ______________ Driver: __________________________________________
Pre-entry must be received by September 8 to be eligible for bonuses. Mail to Bloomington Speedway at the address below.
Pit passes can be purchased by completing the form below and mailing it to Bloomington Speedway with your check, money order or credit card information. All orders must be received by September 8, 2017. Pit passes will be mailed to the address provided.
PIT PASS ORDER
Bloomington Speedway Fall Sprint Car Double
September 22, 2017
Name: _______________________________________________________________________
Mailing address: _______________________________________________________________
City: _______________________________________ State: ______________ Zip: _______
Number of passes __________________ at $30 each. Total of order: $_______________
Credit / Debit Card
Name on card: _________________________________________________________________
Billing address: _________________________________________________________________
Card number: __________________________________________________________________
Expiration date: _________________________________ CVCC: _________________________
I authorize the sale for this ticket order,
Signature of card holder: __________________________________________________________
Mail to: Bloomington Speedway, 5185 S. Fairfax Rd., Bloomington, Indiana 47401
Phone: 812-825-7400
Submitted By: Mike O'Leary
