Please print out form and bring with you to a race or mail in to address below.  If you have any questions, please ask.

If you want to do this online, just CLICK HERE and go to SEVWA Race Enrollment. Here you can pay with your credit card.

South Eastern VW Association Enrollment Form

Name:_________________________________________________________________________

Address:________________________________________________________________________

City:_______________________ State:______ Zip:________________

Phone:_____________________ Email:_________________________

Type of Race car___________class_________ car # ____________

Social Security # ___________________________________(to be used for 1099s if you earn $600 or more)

Dues are $25 a year, which include 2 stickers, & monthly emails and/or mail outs.

Paypal fees to sevwa@sevwa.com (please add 2.5% of total to cover paypal service fees) subject: SEVWA membership

Please make checks payable to K & L Motorsports and send to: 450 Oak Trace Rd, Hahira, GA 31632

Kathy Jacobs 919-616-2183 Or Keith Bumgarner 919-616-1039

sevwa@sevwa.com www.sevwa.com