Team Information

Team Manager (person to contact for questions)
Driver's Name
Address
City
State / Zip	/
Daytime Phone of Team Manager
E-mail of Team Manager
Transponder # (if you own one)
Credit Card Number (VISA, MC, DISCOVER) NO AMEX!
Expiration Number
CCV Three Digit Security Code on Back of Card (VISA, MASTERCARD or DISCOVER)
VERY IMPORTANT! All numbers must be 1 or 2 digits No letters either Please give your desired kart number	- 1st choice - 2nd choice

Event Information (check all applicable boxes)

Class	Please make selection Micro Swift (1 Set of MG Red 460x5 $218.00) Mini Swift (1 Set of MG Red 460x5 $218.00) KA100 Junior (1 Set of MG Red 460/710x5 $222.00) KA100 Senior (1 Set of MG Red 460/710x5 $222.00) X30 Junior (1 Set of MG Red 460/710x5 $222.00) X30 Senior (1 Set of MG Yellow 460/710x5 $232.00) X30 Masters (1 Set of MG Yellow 460/710x5 $232.00)
Class Entry (check box) (DOES NOT INCLUDE PIT PASS!)
$250.00 entry plus a new set of tires for your class
Transponder Rental ($32.10 per kart)	Please make selection No Transponder Needed 1 Transponder Rental - $32.10
Three Day Pitpass Driver and/or Crew (You can also wait and purchase at the track)	Please make selection 1 pit pass - $35 2 pit passes - $70 3 pit passes - $105.00 4 pit passes - $140.00