Membership Application

Membership Dues: $75.00

Please print clearly, be sure to complete in full:

Driver Name                                                                         Year Of Birth               

Address                                                                                                               

City                                                             State                 Zip                          

Phone #                                         E-Mail Address                                                 

Kart Number                   Transponder #                                                                  

Chassis                      Engine                                            Year                               

Sponsor(s)                                                                                                           

Shirt Size             

Members must be 35 years of age or older on or before the first scheduled race in the year 2008. Dues are for the 2008 calendar year. If accepted as a member by the Badger TaG Masters Series, I agree to abide by the rules and regulations set forth by the organization. By signing below, I accept the benefits of membership as good, valid, and adequate consideration. I understand that failure to comply with the rules and regulations of the Badger TaG Masters Series, and the Badger Kart Club, may be cause for this membership to be revoked, and all dues paid and points earned forfeited.

Signature                                                                 Date                                    

Make checks payable to: Race Series Specialists, LLC

Mail to: 

Sanford Mitz
7195 N. Port Washington Road
Milwaukee, WI 53217