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ASR Expo Shorttrack Technologies

Pre-Registered Attendee's Free until December 31, 2010

American Shorttrack Payment Form

Company Name / Association

First Name

Last Name

E-mail Address

Web Site URL

Street Address

City

State/Prov

Zip/Postal Code

Country

Home Phone

Business Phone

Fax

Fee Description

	1. Expo Registration Fee
	2. Attendee FEE 2 day Black and White Badge ea. Free/ $20 After Dec. 31st, 2010
	3. Golf Tournament Fee NA
	4. Think Tank Gold Card Badge Attendee Fee ea. $50
	5. Additional Think Tank attendee White and Blue Badge ea. $50
	6. Shorttrack Legends w/meal Ticket/ WristBand ea. $30
	7. Shorttrack Legends w/out Meal Ticket/ Wristband ea. $10
	8. Daily Expo and New years Eve Party Ticket/ Wristband ea. $10
	9. Gold Card Badge ea. $40
	10. Vintage Race Car Gold Card Badge Entry Fee W/Meal $40
	11. Street Rod Car Show Gold Card Badge Entry Fee w/Meal $40
	12. Additional Vintage or Street Rod one day pass w/out meal ea. $10
	13. ASR Expo Store Merchandise
	14. Jalopy Beer Merchandise
	15. Racers Swapmeet and Car Show one day pass per space $20

Type of Payment

Please fill out form then SUBMIT form with Signature, send check, and mail TO;

American Shorttrack Expo LLC / P.O. Box 91377 Tucson, Arizona 95752

If paying by Credit Card please click on Purchase Now button for secured Credit Card Payment.