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Registration
Team Name
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Class and Fee Schedule
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AA $500
4X4 Pro $300
A $250
B $250
C $250
+30 $250
+40 $250
Schoolboy $250
Ironman $200
Woman $250
Family Class $250
90cc Production $150
90cc stock $150
70cc Production $150
50cc Stock $150
Super Mini $150
Ironman Youth $75
UTV Open $350
UTV A $300
UTV B $250
Payment Type
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Check/Money Order(mail to heartland challenge, 3472 s23 hwy, Carlisle IA 50047)
PayPal (please add 3% for processing fee-iatvhss@msn.com
Preferred Race Number: Please choose 3 different numbers between 20 and 200. list in order of preference. If all your choices are taken, these numbers will be assigned to you
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Preferred Race Number (2nd Choice)
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Preferred Race Number (3rd Choice)
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Racer #1 First and Last Name
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Racer #1 Email
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Racer #1 ATVA/AMA Membership #
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Racer #1 Machine Brand
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Racer #1 Date of Birth
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Racer #1 Hometown and State
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Racer #2 Fist and Last Name
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Racer #2 Email
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Raver #2 ATVA/AMA Membership #
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Racer #2 Machine Brand
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Racer #2 Date of Birth
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Racer #2 Hometown and State
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Racer #3 First and Last Name
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Racer #3 Email
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Racer #3 ATVA/AMA Membership
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Racer #3 Machine Brand
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Racer #3 Date of Birth
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Racer 3# Hometown and State
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Please Sign
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