Hall of Fame Nomination

Nominator Information

Nominator Name(Required)

First Last

Nominator Phone(Required)

Nominator Email(Required)

Nominator Address(Required)

Street Address Address Line 2 City State ZIP Code

Nominee Information

Nominee Name(Required)

First Last

Nominee Phone(Required)

Nominee Email(Required)

Nominee Address(Required)

Street Address Address Line 2 City State ZIP Code

Nominee Racing Role(Required)

Driver

Mechanic

Owner

Builder

Sponsor

Official

Media

Other

Years Active as Driver

(19xx-20xx)

Years Active as Mechanic

(19xx-20xx)

Years Active as Owner

(19xx-20xx)

Years Active as Builder

(19xx-20xx)

Years Active as Sponsor

(19xx-20xx)

Years Active as Official

(19xx-20xx)

Years Active as Media

(19xx-20xx)

Years Active as Other

(19xx-20xx)

Personal Assessment of Nominee's Qualifications(Required)

Clubs, Series, Tracks Raced, Affiliations(Required)

Include Years Active

Notable Associations(Required)

Car Owners, Drivers, Race Cars, Other (Include Years Active)

Championships & Major Races Won(Required)

Include specific years

Additional Information

Other Major Racing Accomplishments(Required)

Include specific years

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