USRMC Grand Nationals / US Open

Driver Reference Code (if available)

Class

Driver

First Name (complete, no initials)

Last Name

International License Number (if you have one)

License Country of Issue

Date of Birth

Mobile or Telephone with area code

Address Line 1

ZIP Code

City

Country

Chassis Brand

Transponder number (if you rent one, write "rental")

Kart number (put 3 choices)

Contact in case of emergency

Contact Person – Name

Contact Person – Phone

Billing

Name

Phone

Address Line 1

Address Line 2

ZIP Code

City

Country

Team and Paddock. If you are pitting with a team, please provide team's name. If alone, write "alone" and put the size of your set-up

Team name or alone

Mechanic first name

Mechanic last name

Extras

Transponder rental

Transponder rental for the event

50 USD

Thursday practice

Controlled practice - full day

75 USD

Fees

Registration Fee ( After June 15 2017 9:00PM EDT )

-- 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

For Micro & Mini MAX, the payment includes entry fee (Friday-Sunday) for the selected class: use of a complete new sealed Rotax Engine and accessories for the event, 1 driver and 1 mechanic passes, 1 sets of tires (Mojo D2), 1 bottle of XPS Kart Tec oil & 5 gallon of fuel).

Other Rotax classes: the payment includes entry fee (Friday-Sunday) for the selected class, 1 driver and 1 mechanic passes, 2 sets of slick tires (MaxOne), 1 bottle of XPS Kart Tec oil & 5 gallon of fuel).

Method of Payment

-- select a class --

Credit Card – Visa or Mastercard. After your registration, we will contact you soon to procede with the payment.
Pay on track

Regulations & Cancellation policy

I agree to be bound to all regulations applicable to the USRMC Grand Nationals / US Open regulations. Also, I understand that ALL SALES ARE FINAL. If you are unable to attend the event, you can transfer your registration to another competitor but a $100 administrative fees will apply to the new competitor. To transfer your registration, send your transfer request to patrick@gorotax.com.

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