MARYLAND

STOCK CAR RACING HALL OF FAME

Membership Form

Name________________________________________________________________


Address______________________________________________________________



City/State/Zip_________________________________________________________



Email______________________            Phone Number (optional)_______________

Were you a: Driver_____Y/N  Car Owner____Y/N  Pit Crew_____Y/N  Spouse____Y/N Track Official____Y/N

Fan____Y/N

Where did you race or attend races, check each: Beltsville Speedway___ Condon Speedway___ Cumberland Speedway___    
    
Dorsey Speedway__

Hagerstown Raceway__ Lanham Speedway___ Marlboro Raceway__ Pomonkey Speedway__ Potomac Speedway___ 

St. Marys Speedway___ Taneytown Fairgrounds___

Dues are $35.00 per year Spouse $25.00

Benefits: Membership Card
               Admission to Annual Reunion and Awards Ceremony
               Discounts on  T-shirts, hats, dvd's and other memorabilia
               Monthly drawings for prizes consisting of Md. racing memorabilia.
               Vote for those to be inducted into the Hall of Fame

The dues and monies received for t-shirt sales, etc. are used to contribute to cover internet expenses to keep the Website active and to have the annual Reunion. 

Please make checks payable to : Al Torney Md. Stock Car Hall of Fame and mail to: 2974 Valley View Rd. Annapolis, Md. 21401 Copy this form or provide info on a separate paper. This info will be placed on member page (page 41) Email address and telephone no. will not be published.

If you have any questions please call 410-841-6974

Membership