TRANSPONDER RENTAL ROUND #1

Transponder Rental – Round 1

Please be advised – There are a limited number of transponders available and they will be supplied in order of request received. Transponder rental fee includes a $300 security deposit, of which $60 is the cost of the rental and $240 will be reimbursed so long as the transponder is returned in good condition by 5 PM on the Sunday of the Event.

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Name*

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Please write your name below in lieu of a digital signature.

BY SIGNING THIS DOCUMENT, I AGREE TO ABIDE BY THE TERMS OF THE RENTAL.

Security Deposit

Price:

Security deposit includes HST. $240 will be refunded so long as the transponders are returned, in good condition by 5 PM on the Sunday of the Event. It is the riders responsibility to maintain and return their transponders.

HST 1001056813

Total

How would you like to pay?*

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Card Number Expiration Date Security Code Cardholder Name

Please send $300 via E-transfer to admin@racemoto.ca. Enter the email address you will be sending from below:*

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E-mail David Grummett
david@racemoto.ca

E-mail Administrator
admin@racemoto.ca

RACE Moto Phone: 249-387-2696

Event Location:

Shannonville Motorsport Park
7047 Old Highway #2
P.O. Box 259
Shannonville, Ontario K0K 3A0