Cornerspeed Online Registration Form

BMW MOA Track Days | Fun Days
Monday, September 14th, 2015 - VIR South Course

First Name: Last Name:

Address:

City: State: Zip Code:

Phone: Email for Confirmation: *Required

Rider Classification:

Cornerspeed Riderschool (Student) - $450.00 (Save $40.00!) SOLD OUT - please email for wait list.
Cornerspeed Riderschool (Student - Military) - $400.00 (Save $90.00!) SOLD OUT - please email for wait list.
Track Day Participant - Intermediate - $175.00
Track Day Participant - Advanced - $175.00

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 payment method:
Payment in full required - payment must be received by Friday, September 4th, 2015. Entries received after Friday, Sept. 4th and on the day of the event will have a late fee of $35.00.
I will mail a check or money order made payable to: Cornerspeed, 410 Brownrigg Rd., Salisbury, NC 28144
Please send me an invoice via Paypal for payment.
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):

Comments/Notes:

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.

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

Please enter the characters in the image below:

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