Promoter Payment Processing
Sanction Fees, Licenses, Other Payments
Track/Business Name
*
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Invoice Number (if applicable)
Event Date (Use today's date if not applicable)
*
-
Month
-
Day
Year
Date
Sanction Fee Calculation
Modified Purse
Enter your total Modified purse. If you did not run Modifieds, leave this field blank.
5% of Modified Purse
Select the divisions running:
Modified
SportMod
Stock Car
Hobby Stock
Sport Compact
Mod Lite
Sprint Car
Late Model
Sanction Fee Total (including 5% of Modified Purse if applicable)
Memberships
Memberships Collected
Enter the total dollar amount owed to IMCA for the memberships you collected. Be sure to send the application forms to us ASAP. Indicate how you will be sending the forms. ***NOTE: It is important that you send membership forms you have collected ASAP to Jodi: JRoot@imca.com
I will be sending membership forms via:
Email to: JRoot@imca.com
USPS Mail
Other
Memberships Collected From:
Enter the name(s) of the driver(s) that purchased licenses.
Other Payments
Payment amount
Enter the total dollar amount to pay, and select what this payment is for from the options below.
Payment for:
Advertising
Franchise Fees
Special Event Fees
Other
Franchise fee for the following divisions:
Modified
Stock Car
Hobby Stock
Northern SportMod
Southern SportMod
Sprint
Late Model
Sport Compact
Mod Lite
Subtotal
Payment Total
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( X )
USD
Online Promoter Payment
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: