Members Profile

Please complete on-line, print, or ask your wife to fill this out so we can read it.

Updated ______

Member Name ______

Mailing Address ______

City ______ State ______Zip ______

Tele No ______ Email Address ______

When did your join the Gear Grinders or years of membership ______

Club by-laws require each member to update this form on an annual basis. We use this information to update the club history. Club by- laws also require three photos of your race vehicle to be filed in the archives to be used as needed. These can be emailed, if you know how.

Email to

or

Mail this form to the club at:

Gear Grinders

C/O Glen Barrett

670 East Rancho Vista Dr.

Washington, UT.84780

or

You can also hand it to the Club Secretary at a Gear Grinders meeting.

Thanks for your help in keeping the club history and accomplishments up-to-date.

Mark Vigeant

President

Race Vehicle(s)(use extra sheets if you have or have had more than one)

Race vehicle entry name ______

Year(s) Active ______

Owner(s) ______

Driver(s) ______

Any Sponsors ______

Class(es) ______Entry Number(s)______

Body/Frame Mfg ______Year____ Engine Mfg______Year _____

Vehicle built by ______

Engine(s) built by ______

Year Event Top Speed Driver/Rider

______

______

______

______

Cool/Fast stuff you want to mention ______

______

Thanks to ______

El Mirage History

When was your first trip to El Mirage? When ______With ______

Why ______

When was your first year participating at El Mirage?

When ______What did you do______

When was your first year racing at El Mirage?

When ______How were you involved? ______

Entry name______ Class______

What is your* fastest speed at El Mirage

Speed / Year / Class / Entry Name / Role (driver, owner, crew, etc.)

Best El Mirage points finish(es)

Position / Year / Class / Entry Name / Role (driver, owner, crew, etc.)

Member of the Dirty Two Club  Year Joined ______Speed______

Entry Name ______Class______

SCTA El Mirage Records (use extra sheet if you have too many to list here)

Speed / Year / Class / Entry Name / Role (driver, owner, crew, etc.)

Bonneville History

When was your first trip to Bonneville? When ______With ______

Why ______

When was your first year participating at Bonneville?

When ______What did you do ______

When was your first year racing at Bonneville?

When ______How were you involved? ______

Entry name______ Class______

What is your* fastest speed at Bonneville

Speed / Year / Class / Entry Name / Role (driver, owner, crew, etc.)

Member of the Dirty Two Club  Year Joined ______Speed______

Entry Name ______Class______

SCTA/BNI Bonneville Records (use extra sheet if you have too many to list here)

Speed / Year / Class / Entry Name / Role (driver, owner, crew, etc.)

Gear Grinder’s History

Positions or Responsibilities held in the Gear Grinders

Year(s) / Position/Responsibilty

SCTA/BNI History

Positions or Responsibilities held within the SCTA or BNI

Year(s) / Position/Responsibilty

Your History

It’s glory time!List all awards you have received from the Gear Grinders, SCTA, BNI or other racing organizations, Halls of Fame, the Nobel committee, the military or Congress.(use extra sheet if you have too many to list here)

Year(s) / Award

Member of the Dry Lakes Hall of Fame  Year Inducted ______

Do you have a vehicle honored by the Dry Lakes Hall of Fame  Year Inducted ______

Vehicle entry name ______Class ______Top Speed______

SCTA Wheels of Fame  Year Honored ______

Anything else we should know about you (you’re an Eagle Scout, a porn star, the secret advisor to the President of Uruguay, in the witness protection program, a belly dancer, or whatever)

______

______

______

______

______

______

______

______

______

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