Please enter your information below, print it out, and enclose it in with your car(s).
 

Builder Nickname:

Return Shipping: Name

Address:

 City:    State    Zip 
(Optional info) Phone   Email:


1. Car Name   *Car ID#  
Car Class:

2. Car Name   *Car ID#  
 Car Class:

3. Car Name   *Car ID#
Car Class:

4. Car Name   *Car ID#  
Car Class:
Use extra Forms if necessary. Car entries over 6 in the same month are $9.00 per entry
 
Total Entry Fees:   Return shipping*  Total Enclosed**  
*1 pound boxes from any US location will be $4.95. For boxes weighing more (one or more cars), please determine the amount it will cost to ship it to zip code 30066. Add .50 for handling for each box and put the total in the box above.
**Entries may be sent via Paypal: wirl@wirlracing.com
. Enter Paypal confirmation # here:
Please wrap your cars in large bubble wrap in sturdy box and Mail to:
 WIRL. P.O. Box 6694. Marietta, GA, 30065

Entry Agreement: I understand that I am entering this car in the WIRL builders cup series after agreeing to abide by the terms, rules, and procedures of the event. I understand that although WIRL will use the utmost care while my car is in their possession, if my car is unintentionally damaged or lost while in the care of WIRL, their liability is limited to a maximum of $25.00 restitution. This does not include damages incurred during normal racing (such as running off track, or being hit by another car), or cars received damaged during shipment to WIRL. I understand this entry fee is not refundable if my car cannot run for any reason ,but I will receive credit for one car entry in a WIRL Builder's Series Race whenever I can first use it. I understand that if my car does not pass inspection for the desired class, it will be run in the open division with name, times, and video posted. I authorize the use of my name, my Builder nickname, and my car name and likeness for WIRL promotional purposes.

   If you agree to the terms outlined above, please enter your name or initials here: