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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