INDIVIDUAL MEMBERSHIP APPLICATION INDIVIDUAL MEMBERSHIP:        $15.00 includes S&H New  ________   Renewal  ________    Membership # (if any) Name____________________________________________________________ Address ___________________________________________________________ City   _____________________________________________________________ Zip  _________ Country  ___________  Postal Code ____________ Phone (       )________________ Email ________________________ Canadian Members Add $7.50    U.S. Funds Only Overseas Members Add $20.00    U.S. Funds Only Method of Payment: (Please do not send Cash) Check #     ____________        Amount $        ____________      (US $ ONLY) Money Order #    __________        Amount $        ____________      (US $ ONLY) Mail Application To: PHILLIPS & NELSON RACING PO B0X 813 BEREA, KY 40403