Alcan Entry Form (Page 2 of 2) in pdf

Alcan Entry Form Page 2

2018 Alcan 5000 entry form

Additional options...

Third driver, autos ($900): For a 3rd driver in an auto entry (double occupancy). Young pasengers are $100 if sharing room

with parents

Paid passengers ($1500): Includes accomodation (double occupancy) and banquets, plus transportation in staff vehicles.

Reserved for press, alternate motorcycle riders, or others closely associated with a paid entry. This is on a space-available

basis, early confirmation is important!

Advertising waiver ($500): Fee for waiver of the event's advertising display requirements (this applies very rarely, see

regulations for details).

Visa, Mastercard, and checks are accepted, or billing by Square invoice. Make checks payable to Alcan Rally or Rainier

Auto Sports Club, Inc. Balance of fees are payable in full by June 1, 2018.

We expect to start 40 to 50 entries, with an even mix of cycles & autos. Mail, e-mail, or fax to:

Alcan Rally

932 Sunnyfield Way

425-823-6343 (Voice message)

Henderson, NV 89015

425-609-0084 (Fax)

Credit Card Info

(Check here if you prefer an email Square Invoice _____)

Cardholder's name ____________________________________________________________

Card Number __________________________________________________________________

Dollar amount of charge _______________ Expiration __________ CSC/CVC#________

Signature of Cardholder ______________________________________________________

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