2010 IIC Registration
Your Information
We'll need your information to send you your race packet before the event.
First Name:    Last Name: 
Email Address:  
Phone Number:   Area Code: Number:
Address 1:  
Address 2:  
City:  
State/Province:  
Postal Code:  
Country:  
T-Shirt Size:   (Note: An extra $3 will be added for sizes XXL and above)
Your Details
Tell us a little more about your racing career so that we can give you all due respect at the race.
Home Track:  
Years Racing:    First Car: 
Chassis:  
Sponsors:  
Your Classes
You may register for a maximum of three classes at the event, which can be any mix of sedan and pan car classes. If you plan to run Amateur 17.5 Sedan, your first class entry fee is $165; if not, your first class will be $150 if it is a tire handout class, or $135 for non-handout classes. Second and third entries will cost $90 for tire handout classes, or $70 for non-handout classes. Your most "expensive" class will always become your primary class for registration purposes.
The more information you can give us for each class, such as your transponder number or frequencies, the faster things will be for you on race day!
Class 1:  
Class 2:  
Class 3:  
Total Cost:   $0.00
IIC Poker Tournament:  

Yes, I am interested in participating in the official IIC Poker Tournament on Sunday, September 5, and will be at least 21 years of age on that date. The buyin will be $40-$50, payable at the time of the event.
Payment Method
You may choose to either pay online via Paypal, or to mail your payment in to us. Please note that your entry is not considered "official" until payment is received. For those mailing in payments, the "date" of the payment will be the postmark date on the envelope.
A small fee will be added to all Paypal payments to compensate for their handling fees.
Completion of this form and payment does not guarantee your class spots; you will receive an email from us when your spot is secured. All entry fees are non-refundable.
Payment Method:  
I Am: