Pre-Pay Form - Double Nickel
MUST be submitted by midnight 13 Aug for Discount

Friday $2K Gamblers
13 May
Gates Open at 3 pm
Open Time Runs 4:30 - 6:45 pm with Tech Card or TnT Card
Limited TnT 4:30 - 9:30 pm (between Eliminations Rounds)

1st Round Eliminations at 7:00 pm

High Roller $5K to Win
Aug 20 & 21, 2022
Sat - Gates Open at 11 am, Blind Squirrel 12:30 pm & Time Runs at 1 pm
Sun - Gates Open 9 am, Time Run 10:30 (New Entries ONLY) & Eliminations 11 am

Saturday Blind Squirrel
Aug 20, 2022
1st -  Round Eliminations at 12:30 pm
$50 Entry & NO BUY BACKS

Sunday JT Muffler Q16
Aug 21, 2022
Qualifying - (2) Saturday or 1 Sunday for those who don't entry Saturday
$120 Entry & NO BUY BACKS

Pre-Paying isn't required, but should reduce the line at the tech booth

Advantages to Pre-Paying

1) Allows to print a submission receipt and shown at the front gate to speed up that process.

2) Separate Line at the Tech Booth to Sign-In & get wrist-bands

3) Self Tech - pre-print Tech Card & fill out before you come to reduce wait time & line


NHRA & CCD Double Nickel Tech Card
(CLICK HERE For Printable Tech Card)
This form can be filled out with your computer & then printed or hand-written & printed

On-Site Saturday or Sunday Single Entry $100
On-Site Saturday or Sunday Double Entry $200


Single Entry (Sat & Sun) $180
Double Entry (Sat & Sun) $350

By pre-paying you will receive one free spectator

There is 4% Square Service Fee added to your Credit Card purchase

You may Pre-Pay at the track via cash or check by May 6, 2022
you can send a check postmarked 6 May or earlier to:
CCD, 4700 West State St, Charleston, IL.61920

Questions please contact us:
Email: / Phone (217) 345-7777

Your Information...

Your Name:** (Required)  
Your Credit Card # ** (Required)  
Expiration Date ** (Required)    (MMYY)
Security Code ** (Required)  
Zip Code ** (Required)  
Amount of Friday Gamblers    (Select one)
Amount of High Roller Entries ** (Required)    (Select one)
Blind Squirrel Entry    (Select one)
Quick 16 Entry    (Select one)
Amount of Crew ** (Required)    (Select one)
Phone Number ** (Required)    (No Dashes)
Your Email:** (Required)  


You will receive a phone call or email with confirmation receipt

Please Click the "Submit" button only ONCE...
Then wait for a Form Confirmation Page to indicate the information has been sent.
You may print the "Confirmation Page" by pressing "Control P" at the same time to bring up a print window
(Please WAIT and be patient, it sometimes takes 15 to 30 seconds)

Track and Mailing Address: 4700 West State St, Charleston, IL 61920
Track Phone: 217-345-7777 - Rods Phone: 217-512-0673

2010 - 2018 Coles County Dragway USA, LLC - All rights reserved. Unauthorized use of material is prohibited.

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