Full Membership Form

Gravity Park USA

2008 Full membership

(entitles rider to free practice on scheduled days during season)

1st family member $250.

example: 1st member  $250

                  2nd member $120

                  3rd member $100

                   total due       $470

Rider name ________________________________________

 Address        ________________________________________

                        ________________________________________

 Phone No. __________________________________________

 E-mail          ________________________________________

 Racer #         ________________________________________

To purchase, just print this form and send along

with payment.

Send checks to …

     Gravity Park USA

    W2571 Hickory Hills Rd.

   Chilton, WI  53014