2017-2018 USXC Racing Season Membership Form

Driver Information:

Last Name: (*)

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First Name: (*)

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M.I.:

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Address: (*)

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City: (*)

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State/Prov.: (*) - Zip: (*)

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Date of Birth: (*)

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Age:

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Day Phone: (*)

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Cell Phone:

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Fax:

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Email Address: (*)

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Your Occupation:

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Employer:

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Race Bib:

1st Choice: (*)

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2nd Choice:

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3rd Choice:

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* new non-pro racers must use 3 digits 
Transponder #: (*)

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I need to rent a Transponder: (*)

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Class (select classes): (*) Invalid Input

Sled:
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Sponsors:  Invalid Input


ANNUAL COMPETITION MEMBERSHIP (required for ALL race classes)
:
Membership benefits: 1) ability to enter all USXC events 2) USXC Rule book 3) sled decals 4) sponsor discounts 5) eligibility for season points titles 6) race # reserved until 10/01/16 7) USXC T-Shirt - Choose one size: Invalid Input


Competition Membership - $150 (*):

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Total Amount Due:
0.00 USD
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