LAS VEGAS MOTOR SPEEDWAY, EXR RACETRACK, LAS VEGAS, NV DECEMBER 9-10, 2017 1 SPRINT-RACE / 1 DRIVER $5,000 / driver 20-min Sprint Qualifying 2 SPRINT-RACES / 1 DRIVER $7,500 / driver 20-min Qualifying Sprint 20-min Sprint Race 2 ENDURANCE RACE $10,000 / car (2 drivers) $5,000 / driver / driver 20-min Qualifying / driver 2-H Endurance Race (2 stints / driver) 1 SPRINT-RACE + ½ ENDURANCE RACE / DRIVER $10,000 / driver 20-min Sprint Qualifying 20-min Endurance Qualifying / driver 2 SPRINT-RACES + ½ ENDURANCE RACE / DRIVER $12,500 / driver 20-min Qualifying Sprint 20-min Sprint Race 2 20-min Qualifying Endurance / driver 2 SPRINT-RACES + ENDURANCE RACE / TEAM (2 DRIVERS) $15,000 / team 2 drivers ($7,500 / driver) / driver 20-min Sprint Qualifying / driver Driver A 20-min Sprint Race 2 Driver B 20-min Endurance Qualifying / driver 6925 Speedway Blvd C-105 Las Vegas, NV 89115 Page 1
ADD-ONS INSURANCE: $490 / driver Fr drivers participating in: 1 Sprint-Race Or Endurance Race Mandatry Race Event Insurance Plicy Purchase: Maximum damage cverage f $25,000, with a $5,000 deductible $5,000 Damage Depsit required $990 / driver Fr drivers participating in: 1 Sprint-Race + Endurance Race Or 2 Sprint-Races Or 2 Sprint-Races + Endurance Race Mandatry Race Event Insurance Plicy Purchase: Maximum damage cverage f $25,000, with a $5,000 deductible $5,000 Damage Depsit required ADDITIONAL PRACTICE: $490 / driver 15-min Practice Sessin COACHING: $490 / driver / WE Caching including Vide & Data Analysis Up t 4 drivers / instructr DECALS: $290 / car Persnal Graphics Package 1 lg with placement n each dr and hd 7-day ntice required RACE EVENTS INCLUDE LV02 RACECAR Car rental fr the event, Transprtatin, Maintenance, Fuel, Brakes, Tires. Event and Series Entry Fees Lunge with seating area, snacks and drinks On-bard Vide Racing Staff: Team Manager, Hstesses, Mechanics FOR ALL RACE EVENTS, PRICES DO NOT INCLUDE: Driver s transprtatin and accmmdatin Meals during the event 6925 Speedway Blvd C-105 Las Vegas, NV 89115 Page 2
2017 SEASON PACKAGES EXR DOUBLE SPRINT SEASON 16 RACES 8 RACE WEEKENDS $60,000 / driver Las Vegas Spring Muntain Las Vegas Laguna Seca Utah Mtrsprts Park Buttnwillw Snma Las Vegas EXR ENDURANCE SEASON 9 RACES 9 RACE WEEKENDS $65,000 / driver 2-h Las Vegas - 1-h Spring Muntain 2-h Las Vegas 6-h Utah Mtrsprts Park 1-h Buttnwillw 3.5-h Snma 24h f COTA r 24h f Prtima 2-h Las Vegas EXR SINGLE SPRINT + ENDURANCE SEASON 17 RACES 9 RACE WEEKENDS $95,000 / driver Las Vegas Spring Muntain Las Vegas - Laguna Seca Utah Mtrsprts Park Buttnwillw - Snma 24h f Prtima (Prtugal) r 24h f COTA Las Vegas EXR DOUBLE SPRINT + ENDURANCE SEASON 25 RACES 10 RACE WEEKENDS $115,000 / driver Las Vegas Spring Muntain Las Vegas - Laguna Seca Utah Mtrsprts Park Buttnwillw - Snma 24h f Prtima (Prtugal) r 24h f COTA Las Vegas AGREEMENT The undersigned Mr./ Mrs./ Ms. wishes t register fr this prgram f the 2017 EXR Racing Series. I therefre hereby agree t cmply with the relevant technical and sprting rules. I als hereby release EXR Racing Series, its members, related entities, agents, fficers, directrs and assigns as released parties and frm all liability n accunt f bdily injury, with r withut liability, ccurring during a prgram/meeting r a driving sessin using a EXR Racing Series race car. EXR Racing Series reserves the right t change the calendar f events at any time. Date Name Signature 6925 Speedway Blvd C-105 Las Vegas, NV 89115 Page 3
RACING DRIVER S REGISTRATION Please fill in yur infrmatin in the designated lines belw. Sign and return t: series@exticsracing.cm Last name First name Female Male Address City State Zip cde Cuntry Phne # E-mail Prfessin Cmpany Date f birth / / Birth Cuntry Height Weight She size Helmet size I have Racing Gear Yes N I have a Racing License Yes N Sanctining Bdy / Grade License Number Spnsrs Team Name Rad Driver s License # State Issued Previus Racing Experience Emergency Cntact Name Relatinship Phne # Bringing guest Yes N # f guests Allergies r Medical Cnditins 6925 Speedway Blvd C-105 Las Vegas, NV 89115 Page 4
CREDIT CARD AUTHORIZATION An additinal 2.5% fee will be applied fr credit card payment Type f Card Name (as it appears n the card) Credit Card Number Expiratin Date / / CVC Cde Billing Address City State Zip cde Cuntry I, (full name) authrize EXR Racing Series t charge my credit card fr the amunt f $ dllars including a 2.5% fee. Date Signature I authrize the abve named business t charge the credit card indicated in this authrizatin frm accrding t the terms utlined abve. This payment authrizatin is fr the gds/services described abve, fr the amunt indicated abve nly, and is valid fr ne time use nly. I certify that I am an authrized user f this credit card and that I will nt dispute the payment with my credit card cmpany: s lng as the transactin crrespnds t the terms indicated in this frm. City Natinal Bank 555 Suth Flwer Street Ls Angeles, CA 90071 ABA r Ruting Number: 122016066 Beneficiary: Extics Racing Series DDA: 370172765 Swift Cde: CINAUS6L (fr internatinal wires) WIRE TRANSFER BANK CHECK Payment can be dne by Bank Check made payable t: Extics Racing Series, LLC. 6925 Speedway Blvd C-105 Las Vegas, NV 89115 Page 5