Cornerspeed Online Registration Form

Dale Quarterley Workshop
Tuesday, May 10, 2022 - VIR North Course

First Name: Last Name:

Address:

City: State: Zip Code:

Phone: Email for Confirmation: *Required

Registration:

Workshop Participant - $200.00
**Workshop price does not include the track day fee. Track day cost is separate. Please REGISTER HERE for the track day.

Please select your payment method:
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.I understand there is a $10.00 convenience fee added to use my credit card.
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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