Driver Name: __________________________________________________Address: ______________________________________________________City, State & Zip: ______________________________________________Telephone: (________) __________________________________________Car Number: __________________________________________________

Tuesday, July 30If you pre-register and make the feature, you are guaranteed $500 to start.

If you do not pre-register, you are guaranteed $200 to start. Must be postmarked by July 27. No exceptions, so please don’t ask for one!

Pre-Entry Fee is $100. Mail To: Adams-Hansen, Inc., PO Box 303, Cameron, WI 54822

Last Year’s Winner Received $16,088After Track Purse & Fan Contributions.

Also Includes: $500 To Win Non-Qualifier Feature.

Raindate Wednesday, July 31

Fill Out This Form & Mail It In With $100 Pre-Entry Fee!

Track Located 1 Mile North Of Rice Lake, WisconsinBetween Highways SS & 48

For More Info, Visit Our Website: www.ricelakespeedway.netPromoters: Dave Adams (715) 205-2861 & Mitch Hansen (715) 205-1122

Raceday Info/Weather: (715) 236-2002

Presented ByAdams

Automotiveand

Buzz Signs &Graphics

Lineups Will Again Be By Passing Points& Will Include Two Rounds Of Heats.

It’s The 25th Anniversary Of The