2008 Tire Confiscation Form Copy 2

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TIRE CONFISCATION FORM

Race #:____________ Car #:_____________ Paper #:_______________

Driver:__________________________________ Class:________________

Handler:________________________________ QMA #:______________

Address:___________________________

___________________________

Phone #: ___________________________

Signature of QMA Official:_________________________________

Signature of Handler:______________________________________

Date:_________________

TIRE CONFISCATION FORM


Race #:____________ Car #:_____________ Paper #:_______________

Driver:__________________________________ Class:________________

Handler:________________________________ QMA #:______________

Address:___________________________

___________________________

Phone #: ___________________________

Signature of QMA Official:_________________________________

Signature of Handler:______________________________________

Date:_________________

12/2008 hp

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