Million Mile Club Entry Form
Fill out this form and mail it along with a certificate proving the driver has
driven at least 1 million accident free miles to:
Red Eye Radio MMC, 2002 Academy Ln, Ste. 110, Dallas, TX, 75234
Name:
_____________________________________________
Address:
_____________________________________________
City:
_____________________________________________
State:
_____________________________________________
Zip:
_____________________________________________
Phone:
_____________________________________________
Email:
_____________________________________________
Circle one:
Owner
Operator
Fleet Driver
Company: _____________________________________________
Jacket Size:
________________________________________
Number of Miles:
___________________________________
This program is made possible by our following sponsors: Petro Stopping Centers,
Chevron, Delo, Motel 6, Trucker Buddy, Cat Scale, BFGoodrich