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NCMP 2022 Fun Race Registration

Personal Information

Driver's Name
Address
 
City
State / Zip   /
Phone
E-mail
Transponder # (if you own one)
"ON FILE" IS NOT A NUMBER
Credit Card Number
(VISA, MASTERCARD or DISCOVER) NO AMEX!
Expiration Date
CCV Three Digit Security
Code on Back of Card
VERY IMPORTANT!
Please give your desired kart number
- 1st choice
- 2nd choice

Event Information (check all applicable boxes)

Race Date and Race Number
Class Entry
PLEASE SELECT CLASS (
check box & select class)
(
DOES NOT INCLUDE PIT PASS!)

Class Number 1 $49.00

Class Number 2 $44.00

Class Number 3 $44.00

Transponder Rental
(
$10.70 per driver)
Race Day Only Pit Pass

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