2017 FWT Rotax Rd 2 – Palm Beach Feb 17-19

Class

driver

First Name

Last Name

Date of Birth

Mobile or Telephone

Address Line 1

Address Line 2

ZIP Code

City

Country

Chassis Make

Team Name (if any)

MyLaps Transponder Number

billing

Name

Telephone

Address Line 1

Address Line 2

ZIP Code

City

Country

Additional Information

Mechanic First Name

Mechanic Last Name

Kart # - 3 Options

MSE Membership Number

Office Use Only:

Extras

Transponder

Transponder Rental

50 $ USD

MSE Membership

MSE Membership - Annual

55 $ USD

Registration Fee

-- select a class --

Driver Package

-- select a class --

Extras

0 $ USD

Total

n / a

Pay in advance

n / a

Pay on track

n / a

Scope of Supply and Services

Each individual event-weekend includes:
Friday practice and qualifying
Race entry fee
Driver and Mechanic pit pass
Micro/Mini 1-set Mojo D2 tires
All other classes 2-sets MaxOne tires
1 - bottle XPS oil
5 gal MS-93 fuel

Practice tires, fuel and oil: In an ongoing effort to support our dealer network, all extra items will need to be purchased through these channels whether in advance or at the event. If you need help in locating a dealer, please visit www.gorotax.com or e-mail info@MaxSpeedEntertainment.com

Method of Payment

Credit Card

Regulations

I understand that ALL SALES ARE FINAL. I also agree to receive periodic correspondence via e-mail relating to events promoted by Maxspeed Entertainment. If you are unable to attend the event, you must cancel by the Monday of race week. You may then transfer your registration to any Maxspeed Entertainment event. This option will expire 12 months after the original registration date. There will be a $100 administrative fee deducted from the transferred amount. Please send your cancellation request to info@MaxSpeedEntertainment.com

Clear Form