Rally Race Payment Form
Make sure to fill out the registration form before purchasing races.
Participant
*
First Name
Last Name
Parent/Guardian Name
*
Parent/Guardian E-mail
*
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Payment Information
Rally Race Fees
*
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( X )
Race Entry Fee
$
35.00
Price per race. Select the quantity below.
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Total
$
0.00
Credit Card
Submit
Should be Empty: