Printable Membership Form - PDF

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					                                    PRINTABLE MEMBERSHIP FORM
Thank you for your interest in the NASCAR Hall of Fame. To become a member of the Hall of Fame, simply
fill out the form below. Please use one form per membership.
Upon completion of the printed form, please mail it to:
             Membership Department
             NASCAR Hall of Fame
             400 E Martin Luther King, Jr. Blvd
             Charlotte, NC 28202
If you would prefer to FAX us your membership purchase, please do so to the attention of the Membership
Department at (704) 654-4468.
Please contact our Membership Department if you have any questions about our membership programs at
(704) 654-4427 or membership@NASCARHall.com .
Please note that membership categories are subject to change.
H A L L                  O   F       F A M E                 M E M B E R                A P P L I C A T I O N
 Membership order for yourself
 Membership order as a gift
PLEASE SELECT A MEMBER LEVEL:
 Rookie Racer (kids 5-12) $25  Crew Chief (Individual) $50                Pit Crew (Family) $150
 Winner’s $250                 Champion’s $500                            Legend’s $1,000
Phone Number _______________________ Email Address: __________________________________________________
                        Business  Cell  Home

YOUR MAILING ADDRESS                                             GIFT RECIPIENT ADDRESS (IF APPLICABLE)
______________________________________________________           _____________________________________________________________
Name                                                             Name
______________________________________________________           _____________________________________________________________
Address                                                          Address
______________________________________________________           _____________________________________________________________
City/Province                                                    City/Province
______________________________________________________           _____________________________________________________________
State                  Zip               Country                 State         Zip            Country
                                                ___________      _____________________________________
My Membership:                           $_________    Email
                                                                 ____________________________________________________________
Gift Membership                          $_________              Phone
                                                                  Send gift membership welcome letter to:    Me  Gift Recipient
Total amount enclosed                    $_________

 Check made payable to: NASCAR HALL OF FAME
 MasterCard  Visa  American Express  Discover
_______________________________________
NAME ON CREDIT CARD (PLEASE PRINT CLEARLY
_______________________________________
CREDIT CARD NUMBER                                EXP DATE
_______________________________________
SIGNATURE (REQUIRED)

				
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