Contingency Claim Form (SPEED SF)
Complete this form for each SPEED SF race that you won this contingency. All submissions will be verified with the official posted results. Any cheating will result in a permanent ban from this program.
Prize:
Each of the podium winners will receive one Maxxis tire. (1st, 2nd & 3rd place)
Driver's Name
*
First Name
Last Name
E-mail
*
example@example.com
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Vehicle Year / Make / Model
*
Race Date
*
Please Select
May 11th Sonoma Raceway
Sep 1st Thunderhill Raceway
Nov 9th Sonoma Raceway
Maxxis Tires Model
*
Please Select
RC1
VR1
VR2
Race Class
*
Please Select
Enduro A
Enduro B
Enduro C
Finish Position
*
Please Select
1st
2nd
3rd
Two pictures of your car showing required decals on both sides. Pictures must be taken at the track during the event with Geo Tagging enabled. Any modifications to the original pictures will result in denial of the claim and a permanent ban from the program.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Official results from SpeedHive or Race Monitor (Screenshot)
*
Browse Files
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of
Proof of Purchase
Browse Files
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of
Submit
Should be Empty: