World ACE Challenge Registration Form
Complete the following Form, then Fax
or Mail with proof of payment to: World ACE Challenge Race Phone: 469-734-0349 E-Mail: worldacechallenge@yahoo.com Web Site: www.worldacechallenge.com
PLEASE PRINT CLEARLY
SYNDICATE NAME:
OWNER NAME:
MAILING ADDRESS:
CITY: STATE
ZIP CODE: COUNTRY
TELEPHONE NUMBER:
FAX NUMBER:
E-MAIL:
BIRD DETAILS
TEAM 1: Preferred Bird
Reserve
Bird (1)
Reserve Bird (2)
Reserve
Bird (3)
Reserve
Bird (4)
Reserve
Bird (5)
TEAM
2: Preferred Bird
Reserve Bird (1) Reserve Bird (2)
Reserve Bird (3) Reserve Bird (4)
Reserve Bird
(5)
TEAM
3: Preferred Bird
Reserve Bird (1) Reserve Bird (2)
Reserve Bird (3) Reserve Bird (4)
Reserve Bird
(5)
By my signature, I acknowledge that I have read and understood the terms and conditions printed herein.
I warrant that I am duly authorized to sign this agreement and bind myself/the syndicated to the
conditions herein.
Signature: Date: