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Erie County Fair DEMOLITION DERBY ENTRY FORM Entry Fee: $40.00 until Aug. 11, 2010. $50.00 after Aug. 11, 2010. Full Size Car ____ Compact Car ____ Full Size Truck ____ Compact Truck ____ Amt. Paid: _____________ Check No.: ___________ Cash: Y / N Car No.: _______________ Driver’s License No.: __________________ Name: ________________________________Age: ______Birth date:__________ Address: ___________________________________________________________ City: _________________________State: ___________ Phone: ______________ I agree to abide by the specifications and rules outlined elsewhere or forfeit any and all monies paid to participate in this Demolition Derby. Signature _______________________________________ Parent’s Signature ________________________________ (If driver is under 18 years of age – FORM MUST BE NOTARIZED) DRIVERS: Titles will be checked in the pit area on day of the Demolition Derby. You must have a title to run in the Derby. You must provide, at this time, the names of your four (4) pit crewmembers. Pit Crew Passes are $20.00 per crew person. Only the members, whose names are listed, will be permitted in the pit area. Changes must be made in person, by the car’s driver, at the Erie County Fair Office before the start of the pit meeting. PIT CREW MEMBERS: ____________________________________ ____________________________________ ____________________________________ ____________________________________ *****Make checks payable to: Erie Co. Agricultural Society***** Please remit entry form and fee along with clear photocopy of driver’s valid license to: In Person: Or Mail to The Erie County Fair Office Erie County Agricultural Society, 3110 Columbus Ave. Sandusky, OH P.O. Box 2436 during Office hours Starting July 5, 2010 Sandusky, OH 44871 M, W, F – 10-2 and 4-7
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