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2018 Jack Canfield Registration
Please register your car and all drivers for the Jack Canfield Memorial Race.
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* Indicates required question
Car Number
*
Your answer
Car Year, Make and Model
*
Your answer
Transponder #
*
If you don't know your transponder number, bring it to registration on race day. If you need to rent a transponder, indicate below and see the registrar on race day.
Your answer
Driver #1, First and Last Name
*
Required. Hopefully your car has at least one driver.
Your answer
Driver #2, First and Last Name
Optional - not required if you're going solo and/or don't have friends (or don't trust them with your car)
Your answer
Driver #3, First and Last Name
Optional - not required if you're going solo and/or don't have friends (or don't trust them with your car)
Your answer
Driver #4, First and Last Name
Optional - not required. See you in the pits! If you're crazy enough to have more than 4 drivers, please notify the registrar.
Your answer
Contact Email Address
*
Your answer
Contact Phone Number
*
Your answer
Payment Option
*
Cash or Cheque on Race Day
PayPal (I understand that there will be an additional 3% charge for PayPal)
Fees Due
*
$100.00 Entry Fee
$50.00 Transponder Rental
Required
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