OFFICIAL ENTRY FORM - 2005
PASS Sport Series/Limited Sportsman/etc
PULLEN HEAVY INDUSTRIES 400 WEEKEND
______
Track: Beechridge Motorspeedway Race Date: Qualifying Sat 9/24 Race Sun 9/25
Location: Scarborough, MERaces Start: Sat 1pm, Sun 11am
Division: Sport Series/Limited Sportsman/etcGates Open Thurs 10 am, Fri 7am, Sat 7am, Sun 7am
Distance: 100 LapsPractice: Begins at noon, Thurs, Fri, and 10:30 Sat
Promoter: P.A.S.S. Driver Meeting: Sat 10 am (Mandatory)
Posted Awards: $14,445
$14,445Promoter’s Purse Distribution
1st $5,000; 2nd $2,500; 3rd $1,000; 4th $600; 5th $500; 6th $450; 7th $400; 8th $350; 9th $325; 10th $300; 11th $275; 12th $250; 13th $225; 14th $200;
15th $175; 16th $150; 17th $140; 18th $130; 19th $125; 20th $120; 21st $115; 22nd $110; 23rd $105; 24th $100; 25th $100; 26th $100; 27th$100; 28th $100;
29th $100; 30th $100; 31st $100; 32nd $100
______
ENTRY AND ADVERTISING RELEASE: The undersigned understands and agrees that their name and likeness may be used by P.A.S.S. to promote this event. The undersigned also understands and agrees that all decisions made by P.A.S.S. Officials shall be final and without recourse. In the event that this application is terminated, it shall be without restitution of any part of the fee paid in connection with this entry and further, waives any and all rights or claims to any bonus money due to resulting from racing efforts with P.A.S.S. prior to P.A.S.S. termination. The undersigned further waives any and all rights for themselves, their agents and assigns, to institute any action, suits or proceeding, whether at law, or any other action against P.A.S.S. and it’s officers, directors, agents and employees for any and all, manner or action and actions, cause and causes of actions, suits, damages, and claims that the undersigned and their heirs, successors, assigns may have not, or at any time in the future may have, arising in any manner of P.A.S.S. promoted events, excepting P.A.S.S. obligation to pay purses, bonuses, and awards as set forth in the official entry blanks for P.A.S.S. promoted events. The undersigned understands and agrees that this release constitutes a waiver of any and all claims for personal injury, breach of contract, and any other loss of damage except as expressly provided herein.
Driver: ______Social Security # ______
Pay check to: ______SS# ______
Address: ______City______State _____ Zip ______
Phone ______Owner: ______
Car Info:Make ______Model ______Year ______
Primary Sponsor ______Car # ______
Driver Signature ______Date______
Additional Event Information:
Qualifying Procedure: 32 cars will qualify for the feature event through qualifying heats and consolation races. The promoters reserve the right to add additional starting positions.
Entry Fee: Early (received by August 27, 2005 $25; Late: $50
Make Checks payable to P.A.S.S. US Dollars Only.
COMPLETE THIS ENTRY BLANK AND RETURN TO: PASS RACING, INC. – 195 LAKEHOUSE RD, NAPLES ME 04055
NOTE: Attendance at Driver’s Meeting is MANDATORY.
NOTE: Certain contingency and or bonus awards require usage of that product and display of sticker during this event in order to receive payment. Some contingency and or bonus awards will be paid directly by the provider. P.A.S.S. cannot assure timely payment for contingency or bonus awards.