Racer Practice Online Registration Form

First Name: Last Name:

Address:

City: State: Zip Code:

Phone: Email for Confirmation: *Required

Yes! Keep me posted on upcoming events and special offers.

Where did you hear about us?


Registration event date:


Licensed Racer for Open Practice - $215.00 (includes $35.00 late fee)
***Due to the repave at CMP, track rental has increased over 35%. Cornerspeed is absorbing the majority of that cost so it isn't passed on to the riders.***

Please select your class:

How many bikes are you registering*?
*Additional $215.00 for each bike over one (1) if you're riding in a different class.
Example: You pay $215.00 each ($430.00 total) for a GSXR-600 (MW) and GSXR-1000 (HW). 2 bikes - 2 classes.
You pay $215.00 once for two (2) GSXR-600s. We sticker one bike in the morning and one bike in the afternoon. 2 bikes - 1 class.

Please select your age group:


Please select your payment method:
made payable to: Cornerspeed, 410 Brownrigg Rd. Salisbury, NC 28144
   Payment must be received within 10 business days from the date you submit this form to hold your spot.
(You will receive an invoice directly from PayPal in a separate email.) I understand there is a $10.00 Admin Fee added to my registration to pay via Paypal.

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):


Comments or Questions:

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.

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

You will receive an email confirmation within 2 business days after submitting this form. Thank you for choosing Cornerspeed®!

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

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