KAJUN MINI STOCK
ASSOCIATION
ELVIS TURBEVILLE (225) 202-4889
39372 HORNSBY RD, DENHAM SPRINGS LA, 70706
PHIL HENDRY (601) 584-8071
AGE:_______ CAR #______
MEMBER NAME:____________________
ADDRESS:_________________________________________________________
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PHONE #:__________________________
SPONSORS:________________________________________________________
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CAR OWNER:________________________
RACING HISTORY:____________________________________________________
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ASSOCIATION FEE: $100.00 DUE WHEN YOU TURN IN THIS PAPER. ALL MONEY WILL BE HELD BY MR. PHIL HENDRY FOR POINTS FUND AT THE END OF THE YEAR. PLEASE MAKE CHECKS PAYABLE TO: KAJUN MINI STOCKS. PLEASE RETURN FORM TO ADDRESS ABOVE.