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Individual Sponsorship Application
General Information
1
First Name
Required
Last Name
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Date of Birth
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1900
Required
Phone
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Phone (alt)
Email
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Country
United States
Canada
----------------------
Afghanistan
Åland Islands
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Antarctica
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Iraq
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Monaco
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Netherlands Antilles
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Northern Mariana Islands
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Palestinian Territory, Occupied
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Thailand
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United Kingdom
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Uruguay
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Vanuatu
Vatican City State
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Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Required
Address
Required
Address (cont.)
Apt, floor, suite, etc.
City
Required
State
Select State
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Alabama
Arkansas
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Colorado
Connecticut
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District of Columbia
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Texas
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West Virginia
Wyoming
Required
Postal Code
Required
Photo
Resume
If you upload a resume, you won't have to fill out as many fields.
Racing Information
2
Bike #1
Year
Make
Model
Required
Bike #2
Year
Make
Model
Number
Required
Type of Racing
Motocross/Supercross/Arenacross
Offroad
Supermoto
Freestyle
Required
Classes
(Hold Control to select multiple classes.)
Required
Other (Please specify)
50cc
65cc Beg
65cc Open
65cc 7-8
65cc 9-11
85cc Beg
85cc Open
85cc 7-11
85cc 12-13
85cc 14-16
Supermini
Schoolboy
BTH
125cc Beg/D
125cc Junior/C
125cc Intermediate/B
125cc Pro/A
250cc Beg/D
250cc Junior/C
250cc Intermediate/B
250cc Pro/A
+25 Beg/D
+25 Junior/C
+25 Intermediate/B
+25 Pro/A
+30 Beg/D
+30 Junior/C
+30 Intermediate/B
+30 Pro/A
+40 Beg/D
+40 Junior/C
+40 Intermediate/B
+40 Pro/A
Women Beginner
Women Sportsman (B/C)
Women A
Other
Years Racing
Required
Results
3
Individual Race Results
Date*
Event Name*
Class*
Result*
Remove
Add
Series Results
Date*
Series Name*
Class*
Result*
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Add
Past, Present, Future
4
Past
How did you get started racing?
Present
Where are you now and how you are doing?
Future
What are your goals for the future?
A few questions?
5
What do are you looking for in a sponsor?
What do you expect to receive as a sponsored rider?
How will you, as a sponsored rider, promote Pro-Wheel Racing Components?
Comment and Submit
6
Comments
(If there is something you haven't said yet, now is your chance.)