2025 Registration Emzone Radical Cup Canada presented by Michelin

Entrant Information

Entrant Name: [2324] [2325] Entrant Phone Number: [2326] Entrant Email: [2327] Addressee Name: [2332]

Billing Address:

[if 2331]Company Name: [2331][/if 2331] Name: [2332] Address: [2333]

[if 2337]

Shipping Address:

[if 2338]Company Name: [2338][/if 2338] Name: [2337] Address: [2339]

[/if 2337]

Team Information

Team Name: [2342] Team Logo: [2343 add_link=1] Primary Sponsor: [2344] Requested Number: First Choice: [2345] Second Choice: [2346] Third Choice: [2347]

[if 2348 equals="Yes"]

Opt in to Masters Class? [2348]

[/if 2348]

Series Registration Payment Options

Selected Races: Emzone Radical Cup Canada: [if 2355 equals="2025 Season Package Entry"] [2355] [2358] [/if 2355] [if 2355 equals="2025 Single Event Entry"]

[2355] [2363] [2364] [2365] [2366] [2367] [/if 2355] [if 2353 equals="FSCM10"]

Discount code

[/if 2353] Total: [2371] Payment Method: [2374]