Cornerspeed Online Registration Form

21st Annual Mid-Atlantic Ducati Owners' Group Track Days | Fun Days

First Name: Last Name:

Address:

City: State: Zip Code:

Phone: Email for Confirmation: *Required

Participation Classification:

Group 1 Beginner: 0-3 Track Days. Orientation on Monday REQUIRED.
Group 2B Intermediate: For newer riders and/or lap times 1:50+ on the North Course. (Proof of track days and/or school diploma may be required.)
Group 2A Intermediate: For more experienced riders and/or lap times 1:40-1:50 on the North Course. (Proof of track days and/or school diploma may be required.)
Group 3 Racer/Advanced Enthusiast. (Race license and/or proof of track days may be required.)

To supply proof of track days, school diploma, or race license, please do one of the following:
1) To send by email: admin@cornerspeed.net
2) To send by fax: (704) 332-3140
3) To send by mail: Cornerspeed, 410 Brownrigg Rd. Salisbury, NC 28144

Please select your Registration Type:

REGISTRATION IS CURRENTLY CLOSED.

Please select your payment method:
I will mail a check or money order made payable to: Cornerspeed 410 Brownrigg Rd. Salisbury, NC 28144
PayPal - We will send you an invoice through PayPal, you will not be directed to PayPal upon submission of this form.
I understand there is a $10.00 convenience fee added to use 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:
Credit Card Number: Exp. Date: 3-digit Code from back of card:
Billing Address (if different from above):

How did you hear about this event? (Please enter a dealership name, website, forum, etc.)

Cancellation, Refund & Credit Policy:
No refunds, credits only. Cancel 30 days or more from event date = 100% credit; Cancel 15-29 days from event date = 75% credit; Cancel less than 14 days from event date = 50% credit; Cancel less than 7 days from event date and no shows = 0% credit / forfeit full amount.

By checking this box, I verify that I have read and understand the cancellation, refund & credit policy.

**PLEASE READ THIS IMPORTANT INFORMATION FOR ENTRY TO VIR - FORM REQUIREMENTS & UPDATED PROCEDURES.**

After you submit this form, you will receive an email confirmation within 2-3 business days.

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*PayPal payments - You will receive an emailed invoice from Paypal, you will not be directed to Paypal upon submission.

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