I.R.A.C. Maumee Valley Region

Registration Form

Owens Community College August 7, 2005

Entrant________________________________________Club___________

Co-Entrant_____________________________________Club___________

Address___________________________Phone_______________________

City________________________

State______________Zip_______ EMAIL__________________

Car___________Model_________Year__________ Color_____________

Modifications:_________________________________________________

_________________________________________________

Novice (Y)____(N)____ Co-Driver (Y)____(N)____

I.R.A.C. Class Entrant____________ Co-Entrant______________

I.R.A.C. Car Number Entrant_________ Co-Entrant_____________

Cost $25.00 Per driver Make checks payable to MVR-PCA Total $_______

Mail To: Greg Herr SCHEDULE:

8:00 Registration Tech

9:00-9:30 Drivers Mtg

& Walk thru

10:00 First Car off

EMAIL: greg.herr@us.o-i.com

Phone: 419-262-5187

Location: Owens Community College

30335 Oregon Rd

Perrysburg, OH 43551

Directions:

From the East or West: Follow Ohio Turnpike to Exit-64. After toll booth take the 795/Perrysburg direction. Take the 795 exit. Right at the Traffic light onto 795(east). Turn left (north)onto Oregon Road and take the first right after the Pedestrian Bridge at the college. The lots will be on the right.

From the South (I-75): Follow I-75 North to Perrysburg, Take the Ohio Turnpike/ 795 exit before the underpass take the 795 exit. Right at the Traffic light onto 795(east). Turn left onto Oregon Road (north) and take the first right after the Pedestrian Bridge at the college. The lots will be on the right.

From the North (I-75): ): Follow I-75 South to Perrysburg, Take the Ohio Turnpike/795 exit, after the underpass take the 795 exit. Right at the Traffic light onto 795(east). Turn left onto Oregon Road (north) and take the first right after the Pedestrian Bridge at the college. The lots will be on the right.