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Extreme Pictures accepts all major credit cards as well as paypal

 

Extreme Pictures - The Best Choice for ACTION Pictures

REGISTRATION FORM

Applicant Information:
Name:
Street Address:
City, State, ZIP:
Day Phone Number:
Night Phone Number:
Fax Number:
Email Address:

Car Information: (No open wheel or project cars)

Make:

Model:
Year:
Color:
Stock or Modified:
Car Number Desired:
Alternate:

 

Driving Group:

White Group:
Blue Group:
Black Group:
Red Group:

 

NOTE: BE SURE TO SIGN UP FOR THE APPROPRIATE GROUP.  It is important that your ability match the group you signed up for.  If it is determined you are in a group too advanced you will be removed with no refund given.

Timing (This service is not available for this event):


No, I don't need a timing transponder.

Yes, I want a timing transponder. (add $25.00)

I'll use my own transponder (add $15.00)

 

Instruction:

Not Needed

One Session $30

Two Sessions $60

Three Sessions $90

Four Sessions $120

All Day $150

 

Sign up for Monday, March 8th 2010

 

TOTAL $

Payment:

Credit Card (add 3.5 %)

Check

Make checks payable to:

Carlos Oliveros               
  10 Spoleto Cir.                       
Salinas, CA. 93905

 

Credit Card Information:

Visa
Master Card

Credit Card Number:

Expiration Date:

CCV

 

Please let us know how you were referred to us or if you are a returning attendant or registering as a group of 5 or more drivers:

IMPORTANT!! AFTER YOU SUBMIT YOUR REGISTRATION, PLEASE SEND ME A BRIEF E-MAIL AT CARLOS@EXTPICTURES.COM AND LET ME KNOW THAT YOU HAVE SUBMITED YOUR FORM. THANK YOU!!