Race Date: _____________ Track: _______________________ Drivers Name: ____________________________ Car # ______ SS # : _________________________ Address:_____________________________________________ City: ______________________ State: _____ Zip: _________ Phone: (Home) _______________ (Cell) ________________ PRE-RACE ENTRY FEE: $75.00 Or pay at the gate: Entry fee will be $100.00 *Pit Passes will be set by each race facility* Make Checks Payable To: SWPRO4S Mail Completed Entry Form and Check To: SWPRO4S 24927 W. Redlands Blvd. Loma Linda, Ca. 92354

Contact Rick Ammerman at racedirector@swpro4s.com
or call him at: (951) 538-6435 if you have any questions.