Big Bend Open Road Race
U.S. Highway 285
Fort Stockton - Sanderson,TX

Version 7.0 2007

Entry Application - Form B

Entry Information
Division* Class** (circle speed choice) Price Entry Number Total
Street Rod (SR) 85, 90, 95 300.00      
Touring (T) 100, 105, 110 400.00      
Grand Touring (GT) 115, 120, 125 500.00      
Grand Sport (GS) 130, 135, 140, 145, 150 600.00      
Super Sport (SS) 155, 160 700.00      
Unlimited (UL) Unlimited 800.00      
Navigator (See rule 6. Age Regulations) N/C      
Co-Driver Fee*** (includes 1 banquet ticket) 100.00      
Licensed Driver's Practice   100.00      
Rookie School & Rookie Qualifying (Incl. 2 Drivers-1 Car) 125.00      
Lifetime Car Number (01 thru 200) No. 1 not available 100.00      
Membership Dues - Individual required 40.00      
Membership Dues - Family (see above) 85.00      
Speed Certificate   35.00      
Commemorative Racer Shirt
(orange polo style)

Size: ______________
(Mens sizes avalable)
Name (optional):_____________________

35.00

  5.00
     
BBORR 2008 Patch    10.00      
Official Course Video DVD / Video (circle one) N/C      
Award Banquet, Ft. Stockton
Entry includes 1 ticket
Please list numbers of additional tickets needed. 25.00 ea.      
Team Challenge Discount Team Name:______________________ (25.00)      
Total: $_______________

Please check boxes for Entry Requirements
Safety Equipment determines Division Eligibility; Class = 'Target Speed'- See Part I, #9 of rulebook.
**Please circle your class choice.
***Applicable only if each person driving one leg of Race; there is no charge for navigator.



Vehicle Information
Year:____________________ Make: ______________________ Model:_____________________
Body Style:___________________________ Color: ____________________________________
Stock:____ Stock Modified: ____Purpose Built Race Car:  ______________ Year Built: __________
Engine Size: _________________________cc/ci Cyl: ___________________________________
(Please submit a color photo or digital image with entry)
Method of Payment
Total Due: _______________________________
I've enclosed a Check/Money Order payable to: Big Bend Open Road Race: _______
Charge to my: Visa   MasterCard   AmEX and Discover not accepted
Credit Card #: ____________________________ Expiration date: _________________________
Cardholders Name: ________________________________ Signature: ___________________

Super Sport and Unlimited drivers must have conversation with Chief of Tech.

Date of conversation: _____________________________       Method: telephone or in person

Chief of Tech: ___________________________________