Name:_______________________________________________________________
Address:_____________________________________________________________
City, State, Zip:________________________________________________________
Contact Person:___________________________ Phone:______________________
Sponsorship Sold By:___________________________________________________
Fee is $30.00 per pinewood derby car. A traveling trophy will be present to the winner to display for
the year. You do not have to be present to race, however you are welcome to join us. A scout
representative will be happy to build and race your car for you. Your company name will be
announced each time your car is raced.
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RECEIPT
Thank you for your donation of ________ on _________________, 20___
to Ozark Church of the Nazarene's Cub Scout Pack 1890, 500 E. Highview, Ozark, MO.