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HEMMINGS CHALLENGE APPLICATION

HEMMINGS CHALLENGE
Vintage Car Rally
ROGERS, Arkansas

Guaranteed Purse - $62,500

June 23rd  - 27th,  2008

Entry Fees:  Entry fee covers driver, navigator and support crew including awards banquet.  Gold Cup & SILVER CUP
entries (CARS 1948 AND OLDER) are eligible for guaranteed purse cash prizes and other awards. Tin Cup entries
(Cars up through 1960-minimum of three entries) eligible for sponsored awards/prizes only.  Touring Class entries
(Cars up through 1960) are “Score Only” and are not eligible for cash prizes.

   GOLD CUP  -  SILVER CUP :  $2,000      (Subject to EARLY ENTRY DISCOUNTS)
                                    Save $500 - Pay $1,500 by Feb 1, 2008                    
                                    Save $250 - Pay $1,750 by  May 1, 2008

   TIN CUP -  TOURING  CLASS:  $600       

Entry Date ___________, 2008            To assure your entry appears in yearbook, enclose picture of vehicle                        
                                                                                                  and send entry in by May 1

Description Of Vehicle:

Make ___________  Model ____________ Year _____  Color ________ Car # requested_________

Modified  _______  (OR)  Stock as Produced ________  (check one for Age Factor as per VCRA rules)

List Modifications (if any) _______________________________________________________________________
                                                      
_____________________________________________________________________________________________

Driver:
Name ______________________________________    Street Address ____________________________________

City _______________________ State _________________   Zip ____________   Date of Birth _______________

Phone (home)_____________________ (work)______________________ E-Mail __________________________

Occupation ____________________________________________                                    Car Owner ___yes ____no

In case of emergency, Notify __________________________________ Phone _____________________________

Navigator:
Name ______________________________________  Street Address ____________________________________

City _____________________ State ____________________ Zip ____________ Date of Birth _______________

Phone (home) ____________________ (work) _______________________ E-Mail _________________________

Occupation ____________________________________________                                     Car Owner ____yes ____no

In case of emergency, Notify ___________________________________ Phone ____________________________

By my signature as Entrant, I agree to and will comply with all event rules and regulations as set forth by VCRA.  I have
complied with the insurance requirements and have provided a copy with this entry form. I affirm that the vehicle is
legally  registered , titled, tagged and meets the safety requirements in the state of residence.

Signature (Required) ______________________________________________ Date _________________

Mail To:  VCRA /  HEMMINGS CHALLENGE  62001 E327 Road   Grove, Ok 74344   918-786-1950