Instructions: Print this form on your printer.
Name ______________________________________________________________________________________
Address ____________________________________________________________________________________
City ______________________________________ State _____________ Zip Code ______________________
Phone (Day) __________________________________ Phone (Night) _________________________________
e-Mail Address ______________________________________________________________________________
VISA / Mastercard / Check ___________________________ Card Number _____________________________
Expiration Date __________________ Card Holders Name __________________________________________
Card Holders Signature _____________________________________________________________________
Sanctioning Body (ex. NASCAR, NHRA) _________________________________________________________
Division (ex. Winston Cup, Busch) ______________________________________________________________
Tickets For Sale _________ Tickets Wanted ________
Race Date: ________________________________________________________
Price: _________________________________
Use the lines below to describe your ad
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Mail to:
The Racers Network If paying by Visa or MasterCard your account will be charged $8.95 and your account statement will If paying by Check, make your check payable to The Racers Network in the amount of $8.95
(ex. 4 Tickets for the 2002 Winston Cup Bristol Spring
races on Mar. 24, 2002. Tickets are in the Allison Terrace, Section Q. Row 3, seats 1-4.
$100.00 each. Phone (Bill) (555) 555-5555.)
5507 Foxboro Ave. NW.
Canton, OH. 44718
show the charge as coming from The Racers Network ™.