1. What is your first name?

2. What is your last name?

3. I have registered at WISSOTA.ORG for all classes I will be racing in.

4. At what email address would you like to be contacted?

5. What is your street address?

6. City, State and Zip Code

7. What is your cell phone number?

8. May we send you text messages and emails regarding important track information or survey questions if necessary?

9. Have you signed & printed a W-9 to hand in at EACH track you are racing at? (They will still be available at each track, but are available online at amsoilspeedway.com or proctorspeedway.com.)

10. Are you participating in the 2014 Point Fund at AMSOIL Speedway?

11. I would like a $75 reserved pit spot at AMSOIL Speedway.

12. Are you participating in the 2014 Point Fund at PROCTOR Speedway?

13. I would like a $50 reserved pit spot at PROCTOR Speedway.

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