May 3rd & 4th, 2008 Folsom Handcar Derby Website Entry Form

Please print form -- Fill out required information -- Total correct entry fee -- Mail form & entry fee to the below address ----------- Please print clearly ----------

Team Name: ___________________________________________________________________

Contact Person: _________________________________________________________

Mailing Address: _______________________________________________________________

City: __________________________ State: _______ Zip: ________________

Phone #’s Day ________________ Evening _________________ e-mail __________________

Entry confirmation and a complete set of rules will be sent via return mail.

Select Division:

Open Coed Seniors Women Coed Masters

Elite Elite Women's Masters Elite Masters

T - Shirt Sizes: ( 5 shirts total ) ( Please add $ 3.00 per XX-Large shirt ordered )

___ Medium ___ Large ___ X-Large ___ XX-Large

Entry Fee $125.00

#_____ of XXL Shirts X $3.00 =$_____

Total Due $_____

Mail Entry Forms To: Folsom Handcar Derby - 198 Wool Street - Folsom - CA - 95630

Please make checks payable to: Folsom Handcar Derby

Deadline for receiving mailed entry form is April 29th, 2008, entries can be dropped off on Saturday May 3rd.

The Folsom Handcar Derby is brought to you by the Folsom, El Dorado & Sacramento Historical Railroad Assoc., Inc., a Calif. Non-profit organization. (916) 985-6001