Personal Information

Driver's Name
Driver's Birth Date
Team Manager
Address
City
State / Zip	/
Phone
E-mail (We are having trouble with Yahoo accounts bouncing back, please leave the ".com" off your email if you are having trouble with your entry bouncing back)
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	October 20-22, 2017
Class Entry PLEASE SELECT CLASS (check box & select class) (DOES NOT INCLUDE PIT PASS!)
Please select class IAME Mini Swift - $367.50 Yamaha Junior Sportsman - $367.50 Yamaha Junior - $383.55 IAME X30 Junior - $383.55 Prices include sales tax and one set of Bridgestone YLC tires
Please select class IAME Mini Swift - $367.50 Yamaha Junior Sportsman - $367.50 Yamaha Junior - $383.55 IAME X30 Junior - $383.55 Prices include sales tax and one set of Bridgestone YLC tires
Transponder Rental ($10.70 per driver)	Please make selection No Transponder Needed 1 Transponder Rental - $16.05
Two Day Pitpass Driver and/or Crew, You can also wait to buy your pit passes at NCMP	Please make selection None, Will Purchase at NCMP 1 pass - $18 2 passes - $36 3 passes - $54 4 passes - $72