Track Day Registration LNB .pdf
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FONTANA TRACI< DAY
Fontana Autoclub Speedway I Thursday October 26th 2017 I 9:00am - 5:00pm
To reserve your spot for the Fontana Track Day, participation fee must be paid in full. Space is
limited, registrations will be taken on a first come first served basis.
Please fill in the Registration Form and send it back by email: Events@LamboNB.com.
GUEST FIRST NAME
GUEST LAST NAME
EMERGENCY CONTACT NAME
EMERGENCY CONTACT NUMBER
TRACK EXPERIENCE (CHECK ONE)
D INTERMEDIATE D EXPERT
Regular Track Day Fee: $699 per participating car
Helmet Rental: $20 Each
Guest Fee: $30 per person
CC AUTHORIZATION FORM
CREDIT CARD 1YPE
CREDT CARD NUMBER
CARD IDENTIFICATION NUMBER
(3 DIGITS ON BACK OF CARD/ 4 DIGITS ON FRONTOFAmEx)
I hereby authorize Lamborghini Newport Beach to charge my card in the amount of $
for the Fontana T rack Day Experience.