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Welcome
Hello there, please fill out and submit this form to rent a transponder for the 2025 Ditchbanger National
8
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1
Racer Name
*
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First Name
Last Name
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2
Racer Class
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Please list the class(es) you are registered for.
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3
Racer Bib #
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4
Phone Number
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5
Email
*
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example@example.com
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6
Do you agree to the following terms?
Rental fee is $25 for the race weekend; reservations must be made in advance.
All transponders must be returned at the end of the event to avoid extra charges.
As a condition of rental, the Owner/Driver certifies understanding of the following: It will be the responsibility of the renter to return the transponder(s) in good condition. Renters who fail to return transponders by the close of the event will pay for the replacement cost of the transponder. (A $300 replacement fee will be charged if not returned)
Note: Reserved transponders that are not picked up are subject to the full rental charge for the event.
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7
Signature
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8
My Products
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My Bag
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My Bag
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Great Product Name
$20
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Event Transponder Rental
$
25.00
+
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3
1
1
2
3
Quantity
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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