2015 Fifth Scale des Nations Registration Form

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Please fill out all information to register for the 2015 Fifth Scale des Nations - September 26-27th at RC Acres, Hamilton

Name, Address, and Contact Information

Name *

Please fill out your first name

Last Name *

Please fill out your last name

City

Please fill out your city

Representing Nation: *

Select a flag to represent: their nationality, a distant relation, fav vacation spot, or just favourite colour arrangement.

Email Address *

Please fill in your primary email to contact you with

Vehicle Information

Vehicle Manufacturer

Please fill in your vehicle manufacturer

Vehicle Model

Please fill in your vehicles model

Race Classes

Please select all classes you are registering for

2WD Amateur Buggy

2WD Pro Buggy

2WD Truck

4WD Amateur Truck

4WD Pro Truck

4WD Buggy

Vehicle Number

Please tell us your cars number that you race with. Check out the list of registered numbers here: http://jscully.tk/numbers

Transponder Number *

Please enter your transponder number here. This will help us when setting you up in the system ahead of time.

Submit

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