2017 Registration/Entry Form (Backup)

2017 International 500 Registration/Entry Form

ScreenHunter_08 May. 03 09.53

(THE ORDER OF OFFICIAL AND VALIDATED ENTRIES RECEIVED WILL ALSO SERVE AS THE FIRST ROUND QUALIFYING ORDER FOR
TUESDAY, JANUARY 31ST, 2017
FIRST TEAM REGISTERED = FIRST TEAM ON THE TRACK AS LONG AS THE TEAM HAS PASSED PRE-QUALIFYING TECHNICAL INSPECTION)

TOP SECTION

(THE ORDER OF OFFICIAL AND VALIDATED ENTRIES RECEIVED WILL ALSO SERVE AS THE FIRST ROUND QUALIFYING ORDER FOR
TUESDAY, JANUARY 31ST, 2017
FIRST TEAM REGISTERED = FIRST TEAM ON THE TRACK AS LONG AS THE TEAM HAS PASSED PRE-QUALIFYING TECHNICAL INSPECTION)

 

BOTTOM SECTION

 

Primary Rider I-500 ($525.00): 

Additional Rider(s) I-500 ($50.00 Each): 

G.L.A.S.S. – Brad Redman Memorial ONLY ($125.00): 

Woody’s Challenge ONLY ($125.00): 

(THE ORDER OF OFFICIAL AND VALIDATED ENTRIES RECEIVED WILL ALSO SERVE AS THE FIRST ROUND QUALIFYING ORDER FOR
TUESDAY, JANUARY 31ST, 2017
FIRST TEAM REGISTERED = FIRST TEAM ON THE TRACK AS LONG AS THE TEAM HAS PASSED PRE-QUALIFYING TECHNICAL INSPECTION)