Wisconsin & Illinois Pylon Racing Organization
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WIPRO Race Registration Bloomington, IL - September 18 & 19, 2010
After you submit your form check the Who's Registered page in a few days to make sure you are signed up. If your name does not show up on the list please send an e-mail to Jay Cappis at the address below.
To Pre-register Please Fill In The Form Below
First Name:
Middle Initial:
Last Name:
Street Address:
City:
State:
Zip Code:
Area Code & Phone:
AMA #:
NMPRA #:
Frequency Request:
Email Address:
Select Event for Saturday:
Select Event for Sunday:
Note To CD:
Please wait while your form is processed.
Contest Contact Information CD: Jay Cappis Phone: (217) 801-5476 E-mail: cappis4@msn.com 424 Sat & Sun - $20.00 Entry Each Day - Lunch $5.00
