Tekrider Racer Ambassador Sponsorship Application 

06/07

Submit on-line (print yourself an info copy before hitting the submit button)
Team Name

  E-Mail Address

Name Address

City Prov / State

Postal / Zip code
Home Phone Work Phone

Fax

For US residents - US Customs needs your Social Security # for shipments from Canada

Will someone be at this address during the day and be able to receive UPS shipments?  yes    no  

If no one home during the day please provide alternate shipping address if UPS shipping option is used.
Name  Attention
Shipping Address City
 Prov/State Postal/Zip CodePhone
Date Of Birth Married yes or no   Spouse 's Name
Your occupation and job description
Name Height Weight Waist size Jacket size T-Shirt size
Rider #1
Rider #2
What type of protective vest are you using now?
What brands of other protective gear do you use?        Pant 
Goggle  Boots  Knee Pad 
Helmet  Elbow Guard  Kidney Belt 
Other types of protective gear used 

Rider # 1 - Total number of years of racing:     Number of races you will attend this season:  

Rider # 1 - Division you raced in last season (120, Novice, Junior, Sport, Womens, Vet, Semi Pro or Pro):

Rider # 1 - Division you will race in this season (120, Novice, Sport, Junior, Womens, Vet, Semi Pro or Pro):

Rider # 1 – Date and location of 1st race this season:

Rider # 2 – Total number of years of racing: Number of races you will attend this season: 

Rider # 2 - Division you raced in last season (120, Novice, Junior, Sport, Womens, Vet, Semi Pro or Pro):

Rider # 2 - Division you will race in this season (120, Novice, Sport, Junior, Womens, Vet, Semi Pro or Pro):

Rider # 2 – Date and location of 1st race this season:

Type of competition you will be doing.                                        ICE DRAG                   GRASS  DRAG

   SNOW X        

 X C

 HILL CLIMB HILL X ENDURO
OVAL                                                  RADAR OTHER  

Brand Model Year
 Sled #1
 Sled #2

Dealers in your area
Dealer #1 City  Prov / State
Dealer #2                    
Dealer #3                    

Race Circuits you will be competing at                            SUPER SNOWCROSS - Indoor            
WPSA NATIONAL WPSA REGIONAL RMSHA               CSRA   
ASRA ROCK MAPLE RMXCR PSGDRA
BEST BCSF NORTH STAR CCMQ
CAN AM CSRC MSXRA MSDRA 
OTHER

A brief history of your racing career and accomplishments.

Can you promote Tekvest in your area and raise awareness for trail riders?

If your application is approved when will you place an order?

Select payment option you will prefer to use. Visa   MasterCard  Prepaid check  Sorry no CODs

List Tekrider products you are interested in
List your other sponsors.

Will provide performance and technical feedback on Tekrider products. Yes No
Will allow use of your name and photograph for promotional purposes Yes No
Will display " Tekrider" logo's on your sleds and trailer.  Yes No     Trailer color

Will supply photos of your sled(s), trailers, etc. showing "Tekrider" decal  Yes No

Please Read & Sign Below

I hereby verify that the above information is true and correct. I understand that if I am approved

 the product I receive  on this program is intended for racing purposes only. Abusing 

this program may cause immediate disqualification from any " Tekrider" Support

Signed ** Type Name                        Date

                 Submit Online   ( print your info copy before submitting)