Team Name:
Owner Information
Name:
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Address:
City, State, ZIp:
Social Security #:
Email Address:
Website:
Driver Information
Driver:
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Address:
City, State, Zip:
License #
Class:
Email:
Car Information
Body Year & Style:
Engine Make & Size:
Best Performance At a CIFCA Event:
Best ET:
Best MPH:
Is the Car Race Ready?
 YES
 NO
If Not When will it be complete?
Method of Payment
Check
 Credit Card
 Other
Once You have Completed this form please call us to inform us of
your method of payment. All credit card transactions will be over
the phone and be billed through JL Tooling.

2008 Membership Dues are: $300.00
Early Membership post marked by Jan 1 2008 $280.00

All CIFCA Members will receive a one year Subscription to
Full Throttle News   

The team owner, driver and crew grant CIFCA the unrestricted
right to acquire, reproduce and publish photographs, videos and
printed matter of the car and team members. As a competitor,
you are permitted to compete in CIFCA events and entitled to all
benefits.
2008 Membership Form
CIFCA   8305 Boron Way   Sacramento, CA 95828   phone 209-992-8007: fax: 916-681-8036
jamie@cifcaracing.com
CALIFORNIA INDEPENDENT FUNNY CAR ASSOCIATION