2009 AWARDS BANQUET

STATELINE SPEEDWAY

PEEK ‘N PEAK RESORT
SATURDAY NOVEMBER 7TH
Cocktails at 6 * Dinner at 7
TICKET REQUEST FORM
Tickets must be prepaid

Top 10 Driver Name/Division_______________

Name _____________________________________

Address ____________________________________ 

Phone _____________________________________

 #Ladies _____  # Men ______  $28 per ticket

TOTAL ENCLOSED ___________________

Please send payment and form to:

Stateline Speedway Banquet
4150 Kortwright Road
Jamestown
NY 14701
814-489-7866 / 814-688-4550

Rooms available at discounted rate

Call the Peek at 716-355-4141