2007 Dakota R/T Club National Meet Registration Form


Registration Information:

Pre-registration ends on May 20th, and all payments must be received by that date.  Any check registrations received after May 20th will be returned to sender.  After that date you will have to register at the event.

2006 Dakota R/T Club National Meet Fees:

Pre-Registration (Before May 1st)
Dakota R/T Club Members: $180
Non-Members: $200
Guest Fee: $25 per person (includes lunches, banquet and admissions total events) Guest fees are being charged this year to attend the events, only one fee for all events. Children will not be charged.


Late Registration after May 1st and at Event:
Dakota R/T Club Members: $220
Non-Members: $240

Guest Fee: $25 per person same as above.

Please provide the following contact information:

Name:
Guest Names
E-mail Address
Phone Number
Street
City
State
ZIP Code
Country
Club Member # -if you are a member
Year, Color and Model
RC=Regular Cab, CC=Club Cab
License Plate Number
State Truck is Registered in
Comments

Please check this box if you will be racing:          

Number of Extra Guests:        (Add $25 for each person, do not count yourself)

Total Amount Being Paid:    (Registration + extra person/s)

I am paying by Check or Money Order:   

If you are sending in a check or money order please print off a copy of this form and include it.

Dakota R/T Club
P O Box 223
Valmeyer, IL 62295

I am paying by PayPal account:                (an additional $3 fee will be charged to cover PayPal charges)

Click on the submit button once to send your order.  You will be taken to a page with payment instructions.  All sales are final, no refunds or returns.


 

dakotartclub@dakotart.com