2007 Series Registration Form
You can fill-out, print and bring this form with you to the open house, first event or mail with your payment to:
PITL - 3327 Charmaine Heights - Mississauga, ON - L5A 3C2
Please make cheques payable to:
MSOC
Driver Information
Name
Phone
(
)
Address
Email
How did you hear about our PITL Series?
Auto Slalom/Solo II Experience
Novice
3 or more events
Preferred Car Number - a)
b)
c)
Car Information
Year
Make
Model
Colour
Displacement
Tire Brand
Modifications
Please complete and attach the Williams form available
here
to this Series Registration form.
Club Use
Series Class
Series Comp No
Williams Brake Pad Agreement Attached
Reg'n Fee Paid ($25)
Info Verified
Y
N
Series Prepaid ($150)
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