Completed form must be submitted to NASA at nasaproracing.com ...
2016 Rebate Award Application – Regional Races (HPD Honda Challenge Series)
Completed form must be submitted to NASA at nasaproracing.com/contingencies. Claims submitted anywhere else will not be processed. DRIVERS NAME: ADDRESS: CITY, STATE & ZIP CODE: PHONE NUMBER HRL MEMBERSHIP NUMBER: EMAIL ADDRESS: RACE INFORMATION – Limit one award per competitor per weekend. RACE CLASS: REGION: NAME OF RACE COURSE: MAKE & MODEL OF CAR: DATE: ______________________________ VERIFICATION for DISPLAY OF HPD DECALS TECHNICAL OFFICIAL NAME (Printed): SIGNATURE: 2 “HPD” decals and windshield banner (Official’s Initials): REGIONAL RACE RESULTS TOTAL NUMBER OF CLASSIFIED STARTERS: CIRCLE YOUR FINISHING POSITION AND “HPD BUCKS” AWARD AMOUNT 3 Starters:
• • • • • • •
1st = $200,
3rd = $150,
5th = $100
Awards are non-transferable. Only winning competitor can claim award. Wining competitor must be a registered Honda Racing Line member. Awards are only eligible for the first Honda Challenge Points race of each regional race weekend. Awards are processed bi-monthly. Once award is processed a credit will be posted to your specific account with HPD. Contingency Claim forms must be submitted within 30 days from when official results are posted for each eligible event. “HPD Bucks” expire 180 days after submitting claim forms. Submit completed form at https://www.nasaproracing.com/contingencies. Official Use Date Received by NASA:
Completed form must be submitted to NASA at nasaproracing.com/contingencies. Claims submitted anywhere else will not be processed. DRIVERS NAME: ADDRESS: CITY, STATE & ZIP CODE: PHONE NUMBER HRL MEMBERSHIP NUMBER: EMAIL ADDRESS: RACE INFORMATION – Limit one award per competitor per weekend. RACE CLASS: REGION: NAME OF RACE COURSE: MAKE & MODEL OF CAR: DATE: ______________________________ VERIFICATION for DISPLAY OF HPD DECALS TECHNICAL OFFICIAL NAME (Printed): SIGNATURE: 2 “HPD” decals and windshield banner (Official’s Initials): REGIONAL RACE RESULTS TOTAL NUMBER OF CLASSIFIED STARTERS: CIRCLE YOUR FINISHING POSITION AND “HPD BUCKS” AWARD AMOUNT 3 Starters:
• • • • • • •
1st = $200,
3rd = $150,
5th = $100
Awards are non-transferable. Only winning competitor can claim award. Wining competitor must be a registered Honda Racing Line member. Awards are only eligible for the first Honda Challenge Points race of each regional race weekend. Awards are processed bi-monthly. Once award is processed a credit will be posted to your specific account with HPD. Contingency Claim forms must be submitted within 30 days from when official results are posted for each eligible event. “HPD Bucks” expire 180 days after submitting claim forms. Submit completed form at https://www.nasaproracing.com/contingencies. Official Use Date Received by NASA:
