2017 Award Application Regional Champ Spec

Rebate Award Application - Regional Championship Spec Tire Classes (RR, RA1 TIRES ONLY) DRIVERS NAME: ADDRESS: CITY, STATE & ZIP CODE: PHONE NUMBER: EMAIL ADDRESS: RACE INFORMATION – Limit one feature race per day (maximum of two per weekend). NASA REGION & EVENT NAME: EVENT DATE: NASA RACE CLASS: NAME OF RACE COURSE: MAKE & MODEL OF CAR: TOYO TIRE SIZE: VERIFICATION OF TIRES USED AND DISPLAY OF DECALS TECHNICAL OFFICIAL NAME (Printed): SIGNATURE: 4 “TOYO TIRES” DECALS (Official’s Initials): 4 “RR or RA1” USED (Official’s Initials): TOTAL NUMBER OF 5+ STARTER RACES: CIRCLE YOUR FINISHING POSITION AND “TOYO DOLLARS” REBATE AWARD AMOUNT 5+ STARTERS (in 8+ RACES): 1st = 1000, 2nd = 500, 3rd = $250  

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THE ABOVE REBATE AWARDS ARE REDEEMABLE THROUGH ANY OFFICIAL TOYO TIRES MOTORSPORTS DEALER TOWARDS THE PURCHASE OF NEW TOYO PROXES COMPETITION TIRES. “TOYO DOLLARS” REBATES MUST BE CLAIMED WITHIN 30 DAYS OF THE CONCLUSION OF THE FINAL EVENT OF THE SEASON. REBATES MUST BE REDEEMED AT AN OFFICIAL TOYO MOTORSPORTS DEALER WITHIN 90 DAYS FROM WHEN THE REBATE WAS ISSUED. TO BE ELIGIBLE, APPLICANT MUST HAVE COMPETED ON TOYO COMPETITION TIRES AND DISPLAYED OFFICIAL TOYO DECALS (MINIMUM OF FOUR 2” X 18” “TOYO TIRES” ON FRONT, REAR, AND BOTH SIDES OF THE CAR). SUBMIT COMPLETED FORM THROUGH THE ONLINE TOYO CONTINGECNY REDEMPTION SYSTEM LOCATED AT WWW.NASATOYOBUCKS.COM

As of 01/17/17