Susquehanna 500 Registration Page
Download a pdf version of this page here.
Schedule of Events:
Friday – September 23 Set-up
Sat & Sun – Sept. 24 & 25 Race Weekend
Yes - we are ready to race! Please reserve our space for ______ racing team(s).
(At least 5 members, 18 years or older)
_____ $500.00 Registration, (first time owners only)
_____ $800.00 by July 15
_____ $1000.00 after July 15
_____ $100.00 deposit ($700 bal. by July 15, or $900 bal. after July 15)
_____ for 2 or more cars, $700.00 for each car by July 15, ($1000 after July 15)
All cars must be purchased through the Northcentral PA Chapter of the Red Cross. This will
ensure that all cars will have the same mechanical specifications.
REGISTRATION DEADLINE IS SEPTEMBER 1st
Cost of New Cars: Call for price
**New cars must be ordered by August 1
Complete this form and return with check payable to:
Northcentral PA Chapter, American Red Cross
320 East Third Street
Williamsport, Pa. 17701
Phone (570)326-9131 email: kstine@ncparedcross.org
Team Name_______________________________ How many cars are you racing?____
Modified Division ____ Car Number(s)___ or Stock Division ____ Car Number(s)______
Address________________________________________________________________
Contact Person__________________________________ Phone___________________
Signature ___________________________ EMAIL:____________________________
Please use reverse side to add information about co-owners or other persons you wish added to
this year’s mailing list.