INTERNATIONAL DEMOLITION DERBY
OFFICIAL
COMBINE ENTRY BLANK
P.O.
PHONE: 219-324-4813 OR 219-363-8896
INTERNATIONALDEMOLITIONDERBY.COM
(FILL IN AND MAIL PROMPTLY. PLEASE PRINT)
Show
Date_______________________ Location__________________
Drivers
Name_______________________________________________
Address
______________________________ City________________
State _________ Zip ____________
Home
Phone __________________ Cell Phone __________________
Make
of Combine __________________________________________
Model
____________________ Trans __________________________
Sponsors _________________________________________________
I
HAVE READ THE RULES AND ACCEPT THE DECISION OF THE JUDGE AS FINAL AND ELECT TO
USE THE GROUND OR TRACK IN ITS PRESENT CONDITION.
SIGNED
________________________________ DATE __________________
Only cash or money order payable to International Demolition Derby will be accepted. No Checks!