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Mail to:
AutoRacing1.com
7 Sapphire Road
Robbinsville, NJ 08691-3096
USA

     CHECK DESIRED SUBSCRIPTION

     Check One: _____New Order?  _____Renewal?

  Place an X on your selected plan (All prices are in US dollars):
____ $64.95  For 24 months (Lock in our best rate for 2 years)  .......
____ $39.95  For 12 months........................................................................
____ $25.95  For 6 months..........................................................................
____ $19.95    For 3 months..........................................................................
____ $5.95    For 1 week access................................................................
  ____ _______Discount Rate or Duration (enter Discount Code above)
   
CONTACT INFORMATION (must match billing address on credit card)
Full Name: _______________________________________  
Street Address: _______________________________________  
  _______________________________________  
City: _______________________________________  
State: _______________________________________  
Province: _______________________________________  
ZIP/Postal Code: _______________________________________  
Country: _______________________________________  
Phone Number: _______________________________________  
   
CHOOSE LOGIN INFORMATION
(Note: Your e-mail address will serve as your login username)
Email Address: _______________________________________  
Password: _______________________________________  
(Password must consist of letters & numbers only, no spaces)
   
PAYMENT INFORMATION
Name on Credit Card: ______________________________  
Check / Credit Card Type
(place X next to your choice):
   __ $ (USD) Check or Money Order (Via Mail Only)
   __ VISA
   __ MasterCard
Make checks or money orders payable to AutoRacing1, Inc.
Credit Card Number: ______________________________  
Expiration Date: Month: _________  / Year: _________

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