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Request a Drivers Page

This is our online Missouri Race Car Drivers Profile Page request form. Fill in the spaces and then click submit at the bottom. This will automatically be emailed to us. Please send your photos or email us digital photos (prefered) of you and your car after you submit this request form. After we get your page finished, we will notifiy you that your page is online. (Please note: It is strickly up to you how much or little info you give us here, we know this is all in the public eye. If some of what we ask for here you do not want public such as your email or how many kids you have, for instance, we are fine with that, it is your choice). Thanks for joining us and tell your friends who are drivers!



Real First and Last Name:
Nick Name ( if you have one ):
Home Town:
Birthdate:
Email:
Spouse's Name ( if married ):
Children's Names:
Number of years driving:
Career Highlights ( trophys, awards and accomplishments ):
Crew Chief:
Crew:
Car Class ( ie - modified etc. ):
Car Make ( ie - Chevy etc. ):
Chassis Builder ( ie - GTR, Chevy etc. ):
Engine:
Engine Builder:
Car Color:
Car Number:
Your sponsors ( include link if they have a website and you want us to link to it ):
Tracks you race at:
Future racing plans:





Don't forget to send us a picture of you (from shoulders up) and your car, your profile will look
much better with pictures of the actual driver and car. You can email them to us (prefered) or
send them to the address below (we will of course return them to you). Email pics here.
    Marvin Jurgens
    732 W. Mill St.
    Buffalo, MO. 65622




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