Duchesne County Fair
             

Demolition Derby / Lawnmower Race

Event You Are Entering
80's Wire
Old Iron Wire
Powder Puff
Limited Weld
Lawnmower Race
A $50 entry fee will be due when you arrive at the event.
 
Demolition Derby team limit is 3
Lawnmower Race limit is 2
 
Number on Team Including Driver (Max of 3):     Quantity:    
First and Last Name of Crew Member [1]
T-Shirt Size [1]

First and Last Name of Crew Member
[2]
T-Shirt Size [2]

First and Last Name of Crew Member
[3]
T-Shirt Size [3]
Is their an intro song you would like us to play as you enter the stadium?
 
Team Leaders Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:2.5% ($1.50 min)
(1.5% additional service fee for foreign cards)
eCheck:$0.75
Method of Payment:
  Credit/Debit Card
  eCheck
 Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Payment method will be collected on external device
 Change Payment Method
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