Find Docs

Suzuki - MXCB 04 Form (Page 2)

Wodocs >> Automotive : Motorcycle, ATV, Snowmobiles >> Suzuki MXCB 04 Form Page 2
Suzuki - MXCB 04 Form
In consideration of being permitted to participate in the Suzuki Contingency Program during the 2004 season, I (PRINT NAME)
______________________________________, for myself, my successors, heirs and assigns, release and forever discharge American
Suzuki Motor Corporation ("ASMC") and its affiliates, agents, employees, servants, officers, directors, and authorized SUZUKI dealers ("related parties")
from all claims, actions, or judgements I may have or claim to have against ASMC and related parties. I agree that I am responsible for all personal injuries,
including death, and injuries to property, real or personal, caused by or arising out of my participation in the Suzuki Contingency Program for 2004.
I further agree for myself, my successors, heirs and assigns to indemnify and hold ASMC and related parties harmless from all claims and suits for
personal injuries, including death, and damages to property caused by my act or omission arising out of my participation in the Suzuki Contingency
Program for 2004, and from all judgements recovered and from all expenses incurred in defending said claims or suits.
I further agree that without compensation, my name, as well as any photographs, pictures, slides, or movies taken of myself or made in connection with
my participation in the Suzuki Contingency Program for 2004, or any reproduction of the same, may in any manner be used by ASMC, or by any person,
corporation or association authorized by ASMC.
I am in good health and have no physical conditions that would prevent me from participating in motocross racing.
I understand that contingency payments will not be made to classes that have fewer than seven (7) riders. Only 2003 and 2004 U.S. RM/RM-Z models
are eligible for motocross contingency. Racers must own the motorcycles raced in the contingency races in order to receive payment. I agree to include
proof of ownership*. I agree to complete this contingency application and submit it to ASMC within 30 days of my first event, to qualify for payment. I
agree that applications postmarked after the 30 day period will not be eligible for payment. I understand that it is my responsibility to resolve
race result disputes with the race organization. ASMC will only make payments based on results sent by the race organization.
I HEREBY UNDERSTAND that Section 1542 of the California Civil Code states that a general release does not extend to claims which I do not know exist,
or do not suspect exist at the time of signing the release, and which, if I knew or suspected such claims exist, would have materially affected my willingness
to sign the release. However, I HEREBY WAIVE MY RIGHTS under Section 1542 of the Civil Code of California and any similar law of any other
state, and acknowledge that this waiver is an essential term of this release (applicant's signature, or signature of parent or guardian if applicant is under
18 years of age).
Signature _______________________________________________________________________________________
I, the undersigned, certify that the name, social security number and address listed are correct as they relate to the Internal Revenue Service Form W-9.
Riders collecting Suzuki contingency subject to IRS Form 1099.
Racer's Social Security Number: _________-________-___________ E-Mail Address _________________________________
Print name CLEARLY ________________________________ Age _____ Date of Birth _________ Phone (____) ____________
Street Address _____________________________ Apt. # ____ City _______________________ State ___ Zip __________
*Sponsored riders need to complete the "Sponsored Rider Affidavit" on reverse side.

<< Previous       1 2       Next >>

2011 Yamaha TT-R125
pictures of 2011 Yamaha TT-R125Class - Enduro
Engine capacity - 124cc
2011 Sachs SX1
pictures of 2011 Sachs SX1Class - Scooter
Engine capacity - 49cc
2010 KTM 300 EXC
pictures of 2010 KTM 300 EXCClass - Enduro
Engine capacity - 293cc
2011 Yamaha XT660X
pictures of 2011 Yamaha XT660XClass - Super moto
Engine capacity - 660cc
2009 Honda CB1000R
pictures of 2009 Honda CB1000RClass - Street Fighter
Engine capacity - 998cc

Other Documents:
IVECO 260 E 31 260 E 31 2000, MAN 414 414 2000, MAN 18.460 18.460 2001, IVECO 35 S 13 35 S 13 2004, DAF 95.430 95.430 1997, OFFROAD 04 Form, frm mx, frm mx 01, frm offrd, bro kingquad, bro qu 160, bro int 800, bro mar 800, bro sav 650, bro dr 200, bro tl 1000s, bro gsx 600, bro gsx 750, bro qu 400, bro qu 400f, bro qu 4wd, bro qu 500, bro quking, qu 500a, bro gz 250, bro int 800, bro intvol, bro dr 200, bro kat 600, bro sv 650, bro gsx 600, bro z 400, 2003 military program rules, chroma wagon 1 sheet, sea fw, catch the wave, xl 7brochure, adventures spring 2003, adventures 2004 spring, adventures 2004 summer, GO Suzuki 01 111705, 05 grand vitara, 05 xl 7, forenza, reno, forenza, xl7, 2003 Pro Road Race Contingency Program, ADV 179 E, Lead release, Lead release FR, 2002 Marine Warranty Booklet Web E, SUVMSRP, 2005 Suzuki Quad Sport Contingency Program, CCG 05 04 E,

WODocs | |
All rights reserved. wodocs.comę 2009

New Docs

Documents Category:
Arts (Design, Movies, Music, Radio, Television)
Automotive (Cars, Marine, Motorcycle, ATV, Snowmobiles)
Business (Biotechnology and Pharmaceuticals, Chemicals, Construction and Maintenance, Materials, Real Estate, Services)
Electronics (Computers, Motion Control, Power Supply)
Games (Board, Family, Party, Card, Construction, RC Toys)
Health (Animalm, Beauty, Healthcare, Medicine, Pharmacy, Surgery, Weight Loss)
Home (Accessories, Cooking, Decor and Design, Electrical, Family, Pets)
News (Newspapers, Sports, Television)
Recreation (Collecting, Hiking, Scouting, Survival, Travel)
Reference (Education, Libraries and Archives, Museums)
Science (Agriculture, Astronomy, Biology, Chemistry)
Shopping (Antiques and Collectibles, Clothing, Flowers, Food, Home and Garden)
Sports (Bicycle, Snowboard, Skiing, Other)