USACI Finals Registration 2010
USACi Competitor ID# _____________________________
Full Name: ____________________________________________________________________
Address______________________________________________________________________
City ____________________________________ STATE __________ ZIP _______________
Contact Number (______)___________________________
Select classes below, we have made it to accommodate people that want
to enter in 1 or more classes:
1. Event (SQ or SPL) ________ Division (modified - intro - etc)_____________________
Power Class _______________________ RMS Power_________________________
2. Event (SQ or SPL) ________ Division (modified - intro -
etc)_____________________
Power Class _______________________ RMS Power__________________________
3. Event (SQ or SPL) ________ Division (modified - intro -
etc)_____________________
Power Class _______________________ RMS
Power_________________________
4. Event (SQ or SPL) ________ Division (modified - intro -
etc)_____________________
Power Class _______________________ RMS Power_________________________
Entry fee is $150 for first entry and $100 for each additional entry.
List ALL additional classes on rear. Secure Trailer Parking is $100 for
the entire event.
We have set up a PayPal account using the email jlillard@pagerize.com for your convenience.
When completed mail or fax to USACI - 6211 Creekside Lane - League City, TX 77573 or Fax 281-332-2778