Student Online Registration Form
First Name: Last Name:
Address:
City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VI VA WA WV WI WY Zip Code:
Phone: Email for Confirmation: *Required
Yes! Keep me posted on upcoming events and special offers.
Where did you hear about us? Please select... Search Engine (enter which search engine to the right) Friend (enter friend's name to the right) Repeat Customer Website (enter website name to the right) Magazine (enter Magazine to the right) Online Forum (enter forum name to the right) Article Review (enter Article name to the right)
Please choose your registration event date:
T-shirt Size: Small Medium Large X-Large XX-Large 3XL
What bike will you be riding in the school? (Ex. Yamaha R6)
Please select your payment method: I will mail a check or money order made payable to: Cornerspeed, 410 Brownrigg Rd. Salisbury, NC 28144 Payment must be received no later than 10 business days after you submit this form to hold your spot. I will pay by PayPal (debit, credit or bank draft). I understand there is a $10.00 Convenience Fee add to pay via Paypal. Please charge my credit card - I understand there is a $10.00 Convenience Fee added to use my credit card.
For Credit Card payments: Credit Card Type: VISA Mastercard Discover Credit Card Number: Exp. Date: 3-digit Code from back of card: Billing Address (if different from above):
Comments:
Cancellation, Refund & Credit Policy: No refunds - credits only. We ride rain or shine. 30-days notice of cancellation = 100% credit. Less than 14-days notice of cancellation = 50% credit. Less than 7-days notice of cancellation or no-shows forfit full amount = 0% credit. Credit dates are at our discretion. Events co-sponsored by another party are not eligible for credits.
GATE FEES: Friday events will have a gate fee - please read HERE for information on gate fees.
By checking this box, I verify that I have read and understand the cancellation, refund & credit policy.
After submitting this form, you will receive an email confirmation in 2-3 business days. Thank you for choosing Cornerspeed®!
Cancel *PayPal payments - You will receive an emailed invoiced from Paypal, you will not be taken to the Paypal webpage upon submission.