NWAA Registration
Form
(First Name) __________________________________________________
(Last Name) __________________________________________________
(Area Code & Phone Number)___________________(Date)__________
(Address, City, State & Zip Code) ____________________________________________________________________
(Drivers License Number) _________________________ (State) ____________
Would you like to be added to our email list: Yes / No
(Email Address) __________________________________________________
(Emergency Contact)___________________________________________________________
(Phone Number) ______________________________________ is this person at event?________________
(Car Make)___________________________________________
(Model) __________________________________________
(Year) ______________ (Color) ______________ (Class) ________________ (Car #) __________
Is this a Multiple Driver Car? Yes / No If Yes Other Driver Name ______________________________________
Fees are $15.00 for members,$ 20.00 for non members, pre-registered, if paying through PAYPAL with credit card, please add 2% for credit charges.
thank you.
Tech form must be filled out at event.
Snail mail to:
NWAA Care of: Pacific Public Safety & Communications 2380 Dolphin Warrenton, OR 97146 Phone 503-861-9288
Pre Pay and Pre register for club events You can pre pay and pre register for all NWAA events, this allows you to go straight to tech inspection, and saves you money. Pre registration saves you 5 dollars off entry fees. Pre pay does not apply to open practice days. PayPal account has been set up to the clubs checking account. Please fill out on-line registration form, including car and class information, print a copy for yourself, and email a copy to president@nwautosports.org, along with your PAYPAL payment. If you prefer you may snail mail,a check to NWAA payments must arrive no later the 3 business days prior to the event. Pre Pay and Pre register for club events You can pre pay and pre register for all NWAA events, this allows you to go straight to tech inspection, and saves you money. Pre registration saves you 5 dollars off entry fees. Pre pay does not apply to open practice days. PayPal account has been set up to the clubs checking account. Please fill out on-line registration form, including car and class information, print a copy for yourself, and email a copy to president@nwautosports.org, along with your PAYPAL payment. If you prefer you may snail mail, a check to NWAA payments must arrive no later the 3 bussiness days prior to the event. 
