S85 W18525 Jean Dr
Muskego, WI 53150-9287
Club membership dues are
$30 per year for a single member
$35 per year for up to two members at same address
$40 per year for more than two members at same address
. Please make all checks made payable to WAI.
The dues cover an individual or any number of family members at the same
mailing address. Points will only be retroactive for one event when
you join during the season.
Name: Age: Sex: (M/F)
City: State: Zip:
Home Phone: Work Phone:
Drivers License No: State: Exp. Date:
In case of emergency notify:
Solo II Class Check if entry
is Ladies Class
Car Number Preferred: 1st 2nd:
Tire Brand: Tire Size: Engine:
Additional Family members
Please fill out a separate form for these folks too
Note about yourself, questions, etc.
Use one form per driver.
to main WAI Page