
YOU MUST BE A PVR MEMBER TO RACE A PVR EVENT
NAME: ____________________________________ DATE:__________________
ADDRESS:__________________________________________________________
CITY:_______________________________ STATE:________ ZIP: ____________
PHONE: _______________________________
EMAIL: ________________________________
NEW: ________ RENEWAL: ________ (Current PVR Race # ____________)
RACING NUMBER REQUEST 1ST: _________ 2ND: _________ 3RD: _________
NUMBERS ARE A FIRST-COME, FIRST-SERVE BASIS. SOME NUMBERS ARE ALREADY TAKEN. IF AN ALTERNATIVE RACING NUMBER IS NOT LISTED, ie: 15 or 15X or 150, YOU WILL BE ASSIGNED A NUMBER.
The assigned number will be required on ALL Snowmobiles entered in PVR events. (See RULES).
1 YEAR MEMBERSHIP DUES: $40
PRO VINTAGE RACING INC.
Attn: Donna Ellifson
P.O. Box 421
Strum WI 54770
Membership waiver required, please download and sign