*Big Horn County Fair Demo Derby*
Sunday, August 3rd, 2008
Basin, Wyoming

Entry Form

Name_____________________________    Drivers License #_________________________________

Address__________________________________   Town______________________________________

Make & Model of Car__________________________________________________________________

Pit Crew___________________________

Pit Crew___________________________

Main Sponsor(s)________________________________________________________________________

Entry form must be accompanied by a $45.00 Entry Fee

Car Number________________________

Send all forms and money to:

Big Horn County Fair
P.O. Box 709
Basin, WY  82410-0709