Not valid NCQMA - 8th Annual Carolina Fall Nationals

      
Speedway Address:
NCQMA Speedway
1130 Speedway Blvd.
Salisbury, NC 28146
704-637-1099


Mailing Address:
NCQMA
PO Box 607
Trinity, NC 27370
8th Annual Carolina Fall Nationals
Hosted by the North Carolina Quarter Midget Association

November 18-25, 2012

Cancellation Policy:
  • Class cancellations and/or class changes must be received by Monday - November 10, 2012
  • NO refunds after November 10, 2012
    • 300 Car Maximum - Please register early to assist with trophy counts and coordination of parking!
    • $55 Per Class, includes track-supplied fuel and parking.
    • $5 Fuel Credit for Lt. AA & Hvy. AA. Handlers must provide methanol for these classes.
    • $5 Transponder Rental
    • $20 RaceCeiver Rental
    • $5 Program Ad (1/8 page), 1/4, 1/2 , and full pages also available--Contact Lola Kenney if interested.
    • Online Pre-Registration Only - Please DO NOT mail registration form. Mail total payment (check, cashier`s check, or money order) payable to NCQMA, ATTN: Tonya Murray, P.O. Box 267, Harrisburg, NC 28075.
    • Online registrations will begin on Wednesday, September 12th at 7 PM EST and end on October 31, 2012 at 10 PM EST. NO additional registrations will be done at the event.
    • Registration will be a (2) step process: 1st - Register online; 2nd - Mail total payment to NCQMA, ATTN: Tonya Murray, P.O. Box 267, Harrisburg, NC 28075.
    • Total fees must be mailed to NCQMA and must be received by November 10, 2012. If your registration payment is not received by November 10, 2012 you will be dropped from the event.
    • Race cancellation and/or class changes must be received by Monday, November 10, 2012. Absolutely NO refunds after November 10, 2012.
    • Batch Qualifying order will be determined by online pre-registration timestamp - First to register, last to qualify.
    • Transponders are required. Transponders are available to rent for $5.
    • RaceCeivers are required. A limited number of RaceCeivers are available to rent for $20. Earbuds are available for purchase for $15.
    • All participants will be required to sign the USAC waiver forms and NCQMA`s Zero Tolerance Policy.
    • All participants will be required to show their USAC identification badges.
    • If you`re not a USAC member, you may use your once-a-lifetime free pass to run a USAC race. Print this form & bring with you to sign ins.
    • Questions ??? Please contact Tonya Murray
    * Required Field
    Handler Information
    First Name:*      Last Name:*
    Address:*
    City:*
    State:*      Zip:*
    Phone#:*
    Email:*
    If you do not have an Email address, enter 'None'
    Driver #1 Information
    First Name:*    Last Name:*     Birthdate:*
    Sex:*    Home Club:*    RaceCeiver:*


    Car #1
    Class:*     Transponder:*    #
    Car #2
    Class:     Transponder:    #
    Car #3
    Class:     Transponder:    #
    Car #4
    Class:     Transponder:    #

       Driver Ad:
         


    Driver #2 Information
    First Name:    Last Name:     Birthdate:
    Sex:    Home Club:    RaceCeiver:


    Car #1
    Class:     Transponder:    #
    Car #2
    Class:     Transponder:    #
    Car #3
    Class:     Transponder:    #
    Car #4
    Class:     Transponder:    #

       Driver Ad:
         


    Driver #3 Information
    First Name:    Last Name:     Birthdate:
    Sex:    Home Club:    RaceCeiver:


    Car #1
    Class:     Transponder:    #
    Car #2
    Class:     Transponder:    #
    Car #3
    Class:     Transponder:    #
    Car #4
    Class:     Transponder:    #

       Driver Ad:
         


    Driver #4 Information
    First Name:    Last Name:     Birthdate:
    Sex:    Home Club:    RaceCeiver:


    Car #1
    Class:     Transponder:    #
    Car #2
    Class:     Transponder:    #
    Car #3
    Class:     Transponder:    #
    Car #4
    Class:     Transponder:    #

       Driver Ad: