Oregon Trail Performance Rally

Service Vehicle Registration

 
   
Please indicate which team(s) this vehicle will be servicing for.
Car # Driver's Name
Car # Driver's Name
Car # Driver's Name
Car # Driver's Name
Please give us the following information:
Vehicle Make
Model
Year
Color
License number State

Vehicle Owner will be required to sign the following statement at registration. If the owner will not be present please print this form and bring a signed copy to registration.

Insurance Warranty: I warrent that this service vehilce has current minimum liability insurance coverage of $100,000/$200,000/$50,000 which meets or exceeds the vehilce insurance standards established and required by Rally America.

 

_________________________ _____________________ ____________

Vehilce Owners Signature ...................Print Name ...................Date

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