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Racer Contingency
Submit the following form and picture(s) of your vehicle to request sponsorship:
General Information
*First Name
*Last Name
*Street Address
*City, *State, *Zip
Click here if shipping address is different
Shipping Address
*Street Address
*City, *State, *Zip
*Telephone
Cell Phone
*Email Address
Sponsorship Type
Type
-- select type --
Club
Show
Competition
Other
*If type is other
Other Sponsors
Sanctioning Bodies
Vehicle Sponsorship Information
*Make
*Model
*Year
--
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
Function
-- function --
Personal
Show
Vehicle Owner
Competition Class
Media Exposure Information
*Future Media Plans
Past Media/Editorial
Career Highlights
Sponsorship Information
Time period of the Sponsorship:
Start Date
End Date
Current Tire Brand
*Size Requested
*Sponsorship Expectation
(monetary/tires/other)
Vehicle Photos
(Must be .jpg, .gif or .png, less than 3 Mb)
Upload Vehicle Photo 1
Upload Vehicle Photo 2
Upload Vehicle Photo 3
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