El Mirage - Duplicate Trophy Order Form

El Mirage Duplicate Trophy Order Form

Entrants earning a Record during El Mirage may order a duplicate trophy. (Trophy Criteria is located in the SCTA Rules and Records Book

Trophies may only be ordered and shipped to Vehicle Owners and/or Drivers listed on the Event Entry Form

It is the Owners'/Drivers' Responsibility for Delivery to Other Parties

**CHOOSE WHERE SHIPPING WHEN CHOOSING PAYMENT**

**NO P.O. BOXES FOR SHIPPING TROPHIES**

Event*

El Mirage

How many trophies would you like to purchase*

Name is Listed as this on the Entry Form*

OwnerDriver

Month of the Event*

Example: June

Year of the Event*

Example: 2017

Name*

Street Address*

City*

State*

Zip*

Country*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Entry Name*

Vehicle Number*

INCLUDE A "B" IF IT IS A MOTORCYCLE

Entry Class*

Speed*

My Products*

El Mirage Duplicate TrophyEl Mirage Duplicate Trophy

$235.00 Quantity

Total

$0.00

Signature*