
CLUB MEMBERSHIP APPLICATION
DATE ___/___/___
NAME: _______________________________ EMAIL: _______________________
ADDRESS: ____________________________ PHONE: ______________________
CITY: _____________________ STATE: ___________ ZIP CODE: _____________
PREFERRED CAR #: _______ SECOND CHOICE: _______ THIRD CHOICE: _______
NICK NAME: _________________________ ( FOR THE JLAP PROGRAM )
MEMBERSHIP TYPE ( CHECK 0NE ) PAYMENT TYPE: CASH ___ CREDIT CARD___
INDIVIDUAL: 1 YEAR $50.00 ___ 2 YEAR $90.00 ___ LIFE TIME $250.00 ___
FAMILY: 1 YEAR $125.00 ___ 2 YEAR $225.00 ___ LIFE TIME $550.00 ___
ADDITIONAL FAMILY MEMBERS:
NAME: ______________________________ EMAIL: _______________________
NAME: ______________________________ EMAIL: _______________________
NAME: ______________________________ EMAIL: _______________________
NAME: ______________________________ EMAIL: _______________________
CORPORATE/SPONSOR: 1 YEAR $225.00 ____
COMPANY NAME: _____________________ EMAIL: _______________________
ADDRESS: ____________________________ PHONE: ______________________
CITY: _____________________ STATE: ___________ ZIP CODE: ____________
CONTACT PERSON: ____________________ PHONE: ______________________
Your Radical Racers membership includes:
Individual/Family:
1. Membership Card
2. Hat __ or T-Shirt __ ( S / M / L / XL )
3. Radical Racers Stickers for your vehicle and R/C car
4. Use of the track for practice anytime (except Race Days)
5. Race entry fee for members is $15.00 (Non-members fee is $20.00)
6. Participation in monthly club orders and other club specials
Corporate/Sponsor:
1. 4’ X 8’ Space available on the back wall for advertising purposes
2. Display other small ”ready made“ signs
3. Provide space for a booth on Race dates to promote your products
BYRON IS THE ONLY FUEL SOLD AND RECOMMENDED BY RADICAL RACERS.
90% OF THE RACERS AT OUR TRACK USE BYRON FUEL.
THE OTHER 10% HAVE NOT WON A RACE YET.
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