EMMR Donation Form

(Use your browser's Print button to print this form, complete it and send by US Mail.)
Name: ___________________________

Address: _______________________________________

City: ___________________________

State: ______

Zip: ____________________

Donation Amount: ______________

Mail to:

    The Eastern Museum of Motor Racing
    One Speedway Drive
    Mechanicsburg, PA 17055

Checks payable to: EMMR

www.emmr.org