ALL drivers must register for the 2007 season! If you did not receive paperwork from us in the
mail, you may fill out the Registration Form and W-9 Forms below. Please fill out all of the  forms
below and mail them to us at the following address:

LaSalle Speedway
P.O. Box 1227
LaSalle, IL 61301

2007 Registration Form - Send a check for the correct Registration Fee along with the forms.

$20.00 Registration Fee Before April 1st , 2007
$30.00 Registration Fee After April 1st , 2007

Division:
Late Model _______
Modified _______
Street Stock _______
4-Cylinder _______
All Others _______

Car# _______

Driver:__________________________________ SS#_____ -____ -______
Address:________________________________ City:______________________
State: ________________ Zip Code:_____________
 

Taxpayer: ________________________________SS# _____ -____ -______
Address: ___________________________________ City:______________________
State: ________________ Zip Code:_____________

The W-9 Form below must be filled out by whoever is to receive the 2006 tax reporting form 1099.

Payoff will not be made until these forms are completed!

Office Use: Received by:_________ Date:________/_________/2007  Card #__________