Registration

National Miniature Pylon Racing Association - District 5


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NMPRA District 5 Race Registration
 


After you submit your form check the Who's Registered page in a few days to make sure you are signed up.  If your name does not show up on the list please send an e-mail to Bernie Vanderleest at the address below.

To Pre-register Please Fill In The Form Below

Please Check The Schedule And Event Flyer To Determine What Events Are Being Run

Please Wait While Your Form Is Processed, A Confirmation Page Will Be Displayed When Your Registration Is Accepted


Select Race You Wish To Register For:


First Name:

Middle Initial:

Last Name:

Street Address:

City:

State:

Zip Code:

Area Code & Phone:

AMA #:

NMPRA #:

Frequency Request:

Email Address:

Select Event(s) for Saturday:


Select Event(s) for Sunday:


 

Note To CD:

Please Wait While Your Form Is Processed, A Confirmation Page Will Be Displayed When Your Registration Is Accepted.

District 5 Contest Contact Information

Bernie Vanderleest
Phone: (262) 995-8110
E-mail: bvanderleest@wi.rr.com





Copyright 2012 Carl Dvorak. For problems or if you have questions regarding this web contact Bernie Vanderleest.       
Last updated: January 22, 2012.
                                  NMPRA D5