Instructions: Print this form on your printer.
Name ______________________________________________________________________________________
Address ____________________________________________________________________________________
City ______________________________________ State _____________ Zip Code ______________________
Phone (Day) __________________________________ Phone (Night) _________________________________
e-Mail Address ______________________________________________________________________________
VISA / Mastercard / Check ___________________________ Card Number _____________________________
Expiration Date __________________ Card Holders Name __________________________________________
Card Holders Signature _____________________________________________________________________
Sanctioning Body (ex. NASCAR) _______________________________________________________________
Division (ex. Goody's Dash) ___________________________________________________________________
Check the category your advertisement is to be placed:
Race Car _________ Trailer ___________ Hauler ___________ Parts __________ Other _______________
Use the lines below to describe your ad
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Mail to:
The Racers Network
Include the following: If paying by Visa or MasterCard your account will be charged $29.95 and your account statement will If paying by Check, make your check payable to The Racers Network in the amount of $29.95
(ex. 1997 Ford Thunderbird Super Speedway rolling
chasis. Ready for Daytona or Talledega. Complete less drive train. Do not need.
$18,000.00. Phone (Bill) (555) 555-5555.)
5507 Foxboro Ave. NW.
Canton, OH. 44718
- either a diskette containing your photo, or a photograph for scanning.
- A completed description form.
show the charge as coming from The Racers Network ™.