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Bonk Hard Racing :: Lake Perry Dusk to Dawn
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Lake Perry Dusk 2 Dawn :: Registration



REGISTRATION

If you would like to register by check instead of using our online system, please fill out the form below and press the 'Continue' button. Do not proceed to the credit card processing form. Then just send a check or money order (made out to Bonk Hard Racing, LLC) to:

Bonk Hard Racing, LLC
P.O. Box 8616
Prairie Village, KS 66208

Please fill out ALL fields in the registration form below (only enter an online certificate if you have one!)

Once all the fields below are filled in, press the 'Continue' button at the bottom of the page. All calculations will be made, and you will be taken to a secure credit card payment form. Enter your payment information (Visa, MasterCard and Discover cards are accepted), and your team will be registered for the Lake Perry Dusk 2 Dawn upon approval of your credit card. You will receive a confirmation email at the end of the registration process to ensure that your team was successfully registered. The credit card processing is done by PayPal, and secured by Verisign, the leader in online security.

* IMPORTANT: After you enter your credit card information on PayPal, be sure to click the 'Return to Bonk Hard Racing >>' button to complete the transaction!

Early Registration (by May 16th): $95/racer ($120/solo)
Normal Registration (by June 20th): $110/racer ($135/solo)
Late Registration (after June 20th): $125/racer ($150/solo)
* Registration closes at midnight on July 13th.

* If you will be attending the post-race meal and awards ceremony at 9AM on Sunday, please let us know on your registration form. There is no extra cost for the meal.

1. Please enter team information.
Team Name:
Team Website (if available):
http://
Division:
2. Enter team member information.
Team Member #1:
First and Last Name:
Address:
City:
State (2-letter abbreviation):
Zip Code:
Email Address:
Phone Number:
Date of Birth (mm/dd/yyyy):
Gender:
Male
Female
Post-race meal?:
Yes No
Shirt Size:
Online Certificate:
Team Member #2:
First and Last Name:
Address:
City:
State (2-letter abbreviation):
Zip Code:
Email Address:
Phone Number:
Date of Birth (mm/dd/yyyy):
Gender:
Male
Female
Post-race meal?:
Yes No
Shirt Size:
Online Certificate:
Team Member #3:
First and Last Name:
Address:
City:
State (2-letter abbreviation):
Zip Code:
Email Address:
Phone Number:
Date of Birth (mm/dd/yyyy):
Gender:
Male
Female
Post-race meal?:
Yes No
Shirt Size:
Online Certificate:
Team Member #4:
First and Last Name:
Address:
City:
State (2-letter abbreviation):
Zip Code:
Email Address:
Phone Number:
Date of Birth (mm/dd/yyyy):
Gender:
Male
Female
Post-race meal?:
Yes No
Shirt Size:
Online Certificate:
3. Click the 'Continue' button to confirm team information.
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