demoderbyentry

LOMBARY AGRICULTURAL SOCIETY

DEMO DERBY ENTRY FORM

NAME: ______________________________________

ADDRESS: ___________________________________

CITY: ________________________________________

POSTAL CODE: ______________________________

PHONE NO. __________________________________

CAR MAKE: _________________________________

YEAR: ________________ MOTOR: _____________

ENTRY FEE $25.00

Driver and passenger car doors must be painted white so your number can be painted on.

Cars winning 1^st & 2^nd place will be held in a designated area and will not be worked on until permission granted.

Cars remaining on the grounds after 9 PM automatically become the property of Lombardy Agricultural Society.

8 CYLINDER 1^ST PLACE $650.00 2^ND PLACE $100.00

4/6 CYLINDER 1^ST PLACE $650.00 2^ND PLACE $100.00

MINI VAN 1^ST PLACE $650.00 2^ND PLACE $100.00

****MINIMUM OF 3 CARS NEEDED FOR 8 CYLINDER CLASS

NO COOLERS OR GLASS IN PIT AREA.

FOR MORE INFORMATION CONTACT KEN SHIRLEY 613-913-2413