Nispin Race Reimbursement 2010

Qualified Rider Race Reimbursement 2009 Race reimbursement of up to $100. All races after the third sanctioned competitive event qualify for race reimbursement. Please answer the following questions regarding the 2009 race season. Name:

1 Did you maintain an annual membership with NITC and NI SPIN? Yes No 2 Did you wear a NISPIN race kit during all race events? Yes No 3 List the annual racing license you maintained. Issuing Authority: License Number: Expiration: 4 List the locally organized events you volunteered for.

5 List ALL sanctioned races you competed in and results obtained Date

Name Of Event

Sanctioned by

Result

Total Entry Fee Requested Race reimbursement after 3 races:

Entry Fee

Return completed form to: [email protected]