Wisconsin Legends Racing
2016 MEMBERSHIP APPLICATION
I hereby certify
that all statements and answers provided by me on this form are
complete and true to the best of my knowledge. Additionally, I fully
understand that Legends Cars are dangerous and that participation in
Legends Cars racing could result in my being injured or killed.
Understanding this, I agree to hold harmless Wisconsin Legends
Racing Dirt Series, INEX Corp., USLCi, and any
other companies, members, agents, or employees from liability
resulting from racing a Legends Car.
Signature of Applicant___________________________________________ Date________________
Note: We reserve the right to refuse eligibility to any person for any reason.
Associate Member Fee: $25
checks payable to:
Wisconsin Legends Racing Dirt Series
Mail form & payment to:
Jim Bucher 4534 Greystone Dr Richfield WI 53076
Membership cost is $75.00
The majority of the money goes towards the point fund, a small amount goes towards the website, stamps, envelopes, etc.
We are a nonprofit organization and any money left at the end of the
year will be put into the point fund.