Sugar Valley Rally, June 1– 4, 2017
Entry Application Form
Entry Deadline is May 12, 2017 (Early bird deadline April 14, 2017)
Return to Sugar Valley Rally, P.O. Box 214, Scottsbluff, NE 69363
Please enter my application form and fee for review. Application and/or entry may be rejected without cause. Incomplete applications may be rejected. By entering Sugar Valley Rally, you are consenting to use by the Rally of images of you and your car for Rally purposes.Entry fee must accompany this application. ***Entry fee is $200.00 for Limited and Unlimited Classes and $150.00 for Rock n Roll/Touring Class if postmarked on or before April 14, 2017. For all entries postmarked from April 15 thru May 12, the fee increases by $50.00 **** In addition, liability insurance must be carried on each competing vehicle and an insurance ID card, state vehicle registration, and a valid driver’s license will be required at the time of inspection.
Rally Car: Make______Model______Year______
VIN______Color______
Requested Car # 1.______2.______3.______if your choice is taken then you will be given a number according to how the registrations come in and your fee will be reimbursed.
Speed Class for entry: ( )Limited 30 mph ( ) Unlimited 45 mph
( ) Pro Class 30 mph ( ) Pro Class 45 mph
( )Rock n Roll/Touring Class(See event letter or website for details!)
NOTE: Vehicles 1943-1967 must select Unlimited Class – Trucks ¾ Ton and over can run in the class of their choice. If you have won the Sugar Valley Rally or are considered to be a Gold Cup contender by VCRA, you must enter the Pro Class.
Is vehicle authentic in all details? ( ) yes ( ) no If no, explain______
Owner:______Street______
City______State______Zip______Phone______
Driver:______Street______
City______State______Zip______Phone______
Email address:______
Navigator:______Street______
City______State______Zip______Phone______
Email address:______
Vehicle inspection will be Thursday, June 1@ 5:00pm at WNCC. Participants needing their vehicle(s) inspected on Friday must call SVR to make an appointment for the time. Call (308) 632-3381
2017 Sugar Valley Rally Entry Fee $200 or $250______
2017 Sugar Valley Rally Rock n Roll/Touring Class Fee$150 or $200 ______
Extra Banquet tickets for Saturday(entry fee includes 2 tickets) ______tickets @ $ 20.00 each ______
Car Sponsorship (yours or another)____cars @ $150.00 ea. ______
______
Sugar Valley Rally Apparel Order (total from enclosed order form) ______
Inside Rally Car Storage (all days)____cars @ $30.00 ea. ______
Requested Car Number fee (optional)$25.00 ______
(Sorry – we cannot refund cancellations received within two weeks of the Rally)
Total Amount to SVR______