Nor Pac Divisional Series - Round 1 
San Francisco Region Solo II Divisional
Castle Regional Park - June 12th & 13th, 1999

PRE-REGISTRATION IS REQUIRED!!!!!   Limited Entries Accepted after June 1! 
Fill in form online, print (no margins, small print) and mail in with fees to:
SFR Divisional;  102 Randall Court;  Folsom, CA 95630Sorry, no e-mail entries.
SCCA Members ONLY. Registration will be accepted with paid SCCA application. 
FEES: $82.50 after June 1st    Make checks payable to SCCA


Class: Divisional   Regional (if different) Desired No. 1) 2) 3)
Name:
Address:
City/State/Zip:
Phone Number: E-mail Address
SCCA Number:  Region Division
Drivers Lic No.:  State
Emergency Contact
Relationship? at Event Site? (Y/N)Phone #
Preferred Assignment: (indicate 1,2,3) Course    Grid     T&S    Impound     Safety   Tech 
Additional Driver: Car #: Other drivers' +/-100 (see supps)
All Drivers for the same car must submit separate completed forms (and fees) in the same envelope.
T-shirts to the first 200 entrants! Mark your Size with X:   S    M    L    XL

Car info: Year  Make 
Model  Color 
Sponsors/Team Name:
Tire Mfg. Size

READ and SIGN: I agree to compete under the current SCCA Solo I and II rules, and the suplementary rules pertaining to this event. I further affirm that the car I have entered complies with all the requirements for the class and category in which it is listed above. I am a member in good standing to the Sports Car Club of America, Inc. I agreee to permit the SCCA, the promoter/organizer of the event and their assigns, the use of my name, voice, and/or likeness for the news, publicity and feature use in ANY AND ALL MEDIA FORMATS in conjunction with the advertising and for purposes of trade.
Driver's SignatureDate

For more info call Ralph at (916) 353-1732, or email him