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Reservation-Monday-July 10th-2006 "Pro-Italia" Track DAY @ BUTTONWILLOW Raceway

with TheTrackClub.com-All Brands and bikes are welcome! Limited number of spots/smaller groups!

TheTrackClub.com organizes many track days in California for all brand of motorcycles. TheTrackClub.com track days are designed to provide maximum FUN & safety, with Advanced Life Support (ambulances) and corner workers on-site. Participants are encouraged to arrive the day/night before the track day(s) and stay at a local hotel near the track to be fully rested and ready to go early the next day. We have been providing track dates since 1994, and have had a lot of fun on many of the local tracks, Buttonwillow, Thunderhill, Willow Springs, Sears Point(Infineon), & Laguna Seca! We have now produced almost 300 events over the years, so we have the experience in providing a great track day!

Reservation for : Monday-July 10th-2006 All Motorcycles - "Pro-Italia" @ Buttonwillow-with TheTrackClub.com

There are "limited spaces" still available - This day will have smaller groups

Note: Underlined fields are required to Complete this registration.
Use your "tab" key to advance to the next field!
Date & Price of Track Day:
First & Last Name:
Email Address:
Street Address:
City:
State:
Zip Code:
Phone:
How did you hear about this track day event? Tell us here :
Have you been with us before?
Indicate approximate # of previous track days you've done :
Indicate approximate # of years riding any motorcycles:
What brand of bike will you ride @ this track event:
Do you need transport for your bike to the track?
Can you transport other bikes to the track?
What is the size of the main bike you'll be riding at this track event:
Your "Preferred" Riding Group:
Acknowledge Price as above: I acknowledge price as listed above = $175.oo/track day only , $275.oo/Track Day with Doug Polen "Instruction" included

I am Interested in On & Off Track Instruction with "Two-Time World Champion" - Doug Polen

What is your preference for lunch?
Will you have any guest to buy lunch for ?
Do you have Health Insurance ? Who is your coverage with?
Any special requests or comments:
Enter your Emergency contact information Name home # cell # relationship
Credit Card Type:
Card Number: - - -
Expiration (mm/yy):
Please Review to make sure form is complete!

Final confirmations will be delivered via email after payments have been confirmed! All dates will include a great lunch (for the paid riders at the track!)

There will be corner workers, ambulance, start / finish flagger, on & off track instruction and other track side services will be available.

TheTrackClub , P.O.Box 663, Los Gatos, Ca ., 95031. or information call 408-723-8161

All dates are confirmed! There will be no transfers without TheTrackClub.com approval-"FULL REFUNDS" can only be had 15 days prior to track dates,

inside 15 days there will be no REFUNDS-All dates are "RAIN OR SHINE!"