SOUTHERN OUTLAW SPRINTERS Mike Miller, William Webb

SOUTHERN OUTLAW SPRINTERS
Mike Miller, William Webb; Owners
850-287-5689
6143 Walton St.
Pensacola, FL. 32503
SOSoutlaws.com
Office; 850-474-1706
Fax; 850-542-7553
[email protected]
The 2013 early membership fee is $ 125.00. Membership will include a member accident policy.
Early membership deadline is March 1, 2013. After March 1st membership is $ 150.00
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YOU MUST BE A MEMBER TO RECEIVE SOS POINTS & SOS MONETARY AWARDS
Driver __________________________________________________ Car # _______________
Address _____________________________________________________________________
Phone: _________________________ Email: _______________________________________
S.S. or Fed ID # ___________________________________ Amount Enclosed: _____________

Unless otherwise indicated the 1099 tax form of SOS award monies earned, will go to
the driver. If the tax form should not go to the driver, please indicate in the area below.
Car Owner: _______________________________ Phone: ____________________________
Address: _______________________________ Cell: ____________________________
_______________________________ Email: _____________________________
S.S. or Fed ID # ____________________________

______________________________
Recipient’s Signature
I agree to abide by all of the SOS rules & regulations. I agree to behave in a reasonable,
professional, and responsible manner at all times, during SOS events. I understand that
my membership and standing in the SOS may be revoked for unreasonable or
unsportsmanlike conduct/behavior. I also may be fined/penalized for any unreasonable
or unsportsmanlike conduct.
Drivers Signature: ___________________________________ Date: ____________________
Return To:
Southern Outlaw Sprinters
SOSoutlaws.com
6143 Walton St.
Pensacola, FL. 32503