Fields Marked by * Are Required

* Please Select A Purchase Option:
To be eligible for award, must be top 10 and have completed over 70% races in any series
8 of 12 Rounds for NEMX – 6 of 9 Rounds for WSP

Each Racer receiving an award must fill out this form
*Name of Racer Awarded: * Race Number:
*Their Jacket or T-shirt size:  
*Please select the WSP and/or NEMX series that apply and enter the eligible classes for your selections. Thank you.
Check WSP Series: Check NEMX Series
WSP Spring WSP Fall NEMX Spring NEMX Fall
WSP Class(es) to be awarded/eligible: NEMX Eligible Class(es) to be awarded:
*Purchaser's First Name: *Purchaser's Last Name:
*Purchaser's Address:
*Purchaser's City: *Purchaser's State: *Purchaser's Zip Code:
*Purchaser's Phone Number: *Purchaser's Email Address:
Tickets Not Mailed, Check in by Racer's Last name to receive wristband to enter
Must be on list (meal purchased) to enter and attend (room is set to attendance, no drop ins allowed :)
Select the # of tickets you'd like to purchase below. If you're not purchasing tickets, please leave the quantity fields below set to 0. Totals will appear on the following order review page.
Adult Ticket $35.00 per ticket (select # of tickets)
Kids Ticket $18.00 per ticket (select # of tickets)