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SCHEDULE OF ENTRY FEES
NEW ENGLAND REGION, SCCA
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Early Entry Fee*:
 $ 395.00 NERRC Championship Weekend / NERRC #8
Northeast Division Road Racing Championship Races, NERRC Championship Races presented by Thompson Speedway Motorsports Park, NYSRRC & HRG Regional Races Sanction #21-R-20503, 21-VINT-56814
MAKE CHECKS PAYABLE TO:
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Regular Entry Fee*:
$ 445.00
New England Region, SCCA
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One Day Entry Early
 $ 295.00
US Funds only
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One Day Entry Regular $ 345.00
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Double Dipper 2 Day* Early $ 200.00
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Double Dipper 2 Day* Regular $ 250.00
MAIL:
Linda Capullo
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Double Dipper 1 Day Early $ 150.00
20 Cottonwood Rd
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Double Dipper 1 Day Regular $ 200.00
Norwich, CT 06360
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FE, SRF3 & SRF Compliance Fee - per weekend $ 30.00
email:
lincap07@gmail.com
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Voluntary Contribution to Workers' Fund
860.887.0222
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 ___________ Thompson Speedway Motorsports ParkPlease - no phone calls after 8PM
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Total Enclosed
 ___________ 205 East Thompson Road
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* See Supplemental Regs for Details
Thompson, CT 06277
Express Mail must be
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Sept 30 - Oct 2, 2021
"NO Signature Required"
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Except as modified by the enclosed Supplemental Regulations, this event is held under the SCCA General Competition Rules.
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MakeModelColorClassTransponder #Number Request: choose 3
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 / /
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Driver
SCCA Membership #
OFFICIAL USE ONLY
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Email
Phone
Group #
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Comp License #
Grade
Exp date
Region
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Address (City/State/Zip)
Car #
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Entrant name/address
SCCA Membership #
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Sponsor (30 Char. Max.)
Class
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Emergency Contact: Name
Phone
At Track?
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YES / NO
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Address
Relationship
Fee Paid
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Crew Members: (3 free, addt'l crew $10 ea.)
Release #
Release #
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1 Money Rec'd @ Track
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MINOR
PARTICIPANTS
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I agree to enter this event which is held under the current General Competition Rules of the Sports Car Club of America, as amended by Fastrack and the Supplementary Regulations pertaining to this event. I further confirm that the car which I have entered complies with all requirements as specified in the GCR for the class, category and race in which it is entered above.
Release #
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Signature Driver
Date
Signature Entrant
Date
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TIMING AND SCORING INFORMATION - MUST BE COMPLETED BY DRIVER on late entry only
Group #
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MAKE/MODEL/YEAR
TRANSPONDER #
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COLOR
CLASS
REGION OF RECORD
Car #
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DRIVER NAME
SCCA MEMBERSHIP #
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Class
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ADDRESS (STREET/CITY/STATE/ZIP)
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