PAY USING PAYPAL USING THE BUTTONS BELOW
**IF YOU ARE PAYING BY CHECK PLEASE MAKE PAYABLE TO: DAKOTA R/T CLUB**
MAIL TO: 6299 BELL PLACE - VENTURA, CA 93003
INCLUDE MEMBER NUMBER ON CHECK!!

2011 NATIONAL MEET REGISTRATION
DRTC MEMBER REGISTRATION MAKE SURE TO ADD GUESTS IF YOU HAVE THEM	DRTC NON-MEMBER REGISTRATION MAKE SURE TO ADD GUESTS IF YOU HAVE THEM
DRTC Member Pricing & Options Registration Only $40.00 Member's Full Name DRTC Membership #	DRTC Non- Member Pricing & Options Registration Only $65.00 Full Name Vehicle (Yr/Make/Model)
NATIONAL MEET GUEST REGISTRATION
Guest's Full Name