Connecticut Autocross and Rally Team Inc.

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Autocross Winter Session Events Form

Use this form to Pre-Register for the 2006 WINTERCROSS Events. C.A.R.T Members will be given priority. Non-Members may use this form as well. Preregistrations will be valid until 9:30 AM ONLY. after 9:30 AM, your slot will be given away. No exceptions.

Name

Address

City / ST / ZIP

E-mail *

Day Phone

Evening Phone

Event Date

Wintercross Car Class

Front Wheel Drive
Rear Wheel Drive
4 Wheel Drive

I am ,  am not   a C.A.R.T Member

Event Date

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