Team Name:
Car Name:
Owner:
Address:
City/State:
Zip Code:
Phone:
Email:
Website:
Social Security#
Credit Card #
Expiration:
Is the Car Race Ready?
YES
If Not When will it be complete?
Driver:
Address:
City/State:
Zip Code:
Phone:
Email:
License #
Car Info:
Crew Info:
Sponsors:
CIFCA   8305 Boron Way   Sacramento, CA 95828   phone 209-992-8007: fax: 916-681-8036
jamie@cifcaracing.com
Top 5 from 2004
2004 Champion
Dennis La Chartie
Back in Black Racing
2nd Place
Tom Abbott
AMP Motorsports
3rd Place
Dennis Murphy
Ground Zero
4th Place
Jim Maher
Good Vibrations Racing
5th Place
Jim Scott
Team Scott Racing
Membership Form
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.

Annual Dues are $200 for competitors

Free Race Entry
Free Crew Entry
Tow Money
Generous Discounts with Major Sponsors
20% Discount on Apparel
VIP Lodging Rates
Membership ID Card

Make Checks payable to:
CIFCA
8305 Boron Way
Sacramento,CA, 95828
NO