Wufoo
Great Race-2008 Registration Form
NEW YORK > VANCOUVER > SHANGHAI > URUMQI > BERLIN > PARIS
STAGE 1
Great Race 2008: North America
New York > Vancouver
30 May – 13 June 2008
Standard: 15 Days, $6,000
Standard: 7 Days, $3,250
Standard: 3 Days, $1,250
Signature: 15 Days, $14,000
Signature: 7 Days, $7,000
Signature: 3 Days, $3,000
Signature: Daily Rate $1000/day*
*Number of days
*Please indicate your start and finish cities
STAGE 2
Great Race 2008: China
Shanghai > Urumqi, (People's Republic of China)
)
21 June – 3 July 2008
Signature: 143,000 CNY / 14,000 Euros / $18,000
Corporate: 162,000 CNY / 15,800 Euros / $21,000
Signature: Daily Rate $1250/day (3 day minumum)**
**Number of days
**Please indicate your start and finish cities
STAGE 3
Great Race 2008: Europe
Berlin > Paris
26 July – 2 August 2008
Signature: 7,500 Euros / 77,500 CNY / $10,250
Corporate: 9,500 Euros / 98,000 CNY / $13,000
Signature: Daily Rate $1450/day (3 day minumum)***
***Number of days
***Please indicate your start and finish cities
DRIVER:
Driver Name:
*
First
Last
Driver Phone (North America):
-
(###)
-
###
####
International OK
Driver Phone (International):
International OK
Driver Email Address:
*
NAVIGATOR:
Navigator Name:
*
First
Last
Navigator Phone (North America):
-
(###)
-
###
####
Navigator Phone (International):
Navigator Email Address:
*
Car Year:
Car Make:
Car Model:
Car Color:
Entry Options: (North America Only)
Run for fun (No added charge)
Dash for cash (Please add $1,500 USD for prize fund. The prize fund is determined by the number of Dash for Cash participants.)
PAYEE INFORMATION
NAME:
First
Last
BILLING ADDRESS:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
PAYMENT INFORMATION: Payment is due upon Registration.
By Check of Bank Draft. Please make payable to Great Race Sports, Inc.
By Credit Card or Wire Transfer: For your security,we will contact you directly for processing.
Do Not Fill This Out