EVENT REGISTRATION

Personal Info

First Name
Last Name
Email
Phone
Street Address
City
State
Country
Zip Code
Role	OwnerManufacturerBuilder
Association or Club Affiliation
Referral	08 SpoCom 09 Spocom A Friend Ad in Excellence Magazine Another Website Bimmerfest Bimmerfest 09 Cars & Coffee CHINESE AUTO WORLD Magazine DSPORT Magazine GRASSROOTS Motorsports Magazine NISSAN SPORT Magazine Other Our Splash Page Referred by Dealer / Shop Referred by Racetrack Subiefest Toys 4 Tots Web Search
Company
Prior Experience Driving on a Roadracing Circuit (if none, write "none")
Emergency Contact Full Name
Emergency Contact Phone Number

Vehicle Info

Type	CarMotorcycle
Make & Model
DOT Approved?	YesNo
How is your vehicle powered?
Estimated Horsepower	CrankWheel
Weight
Seating Capacity
Please describe safety equipment (seatbelts, roll structures, etc.)

And Finally...

Would you be interested in any time trial events? (not racing, just fastest lap)	YesNoMaybe
Any Comments?