2009 Great Lakes Speedsports

Karting Awards Banquet

TICKET ORDER FORM

***CHAMPIONS – PLEASE GIVE JACKET SIZE***

SIZE______

PLEASE PRINT CLEARLY SO I CAN MAIL YOUR TICKETS TO YOU.

NAME:___________________________________________

ADDRESS:________________________________________

CITY:________________________ STATE:______________

ZIP:_______________

NUMBER OF TICKETS:________ X $20 = $____________

MAIL FORM TO:

GREAT LAKES SPEEDSPORTS

ATTN: ANDREA COLVIN

11903 DINING RD

BELLEVUE, OH 44811