ALL RM AND DR-Z MOTORCYCLES MUST BE REGISTERED THROUGH AMERICAN SUZUKI MOTOR CORPORATION FOR CONTINGENCY PAYMENT
TWO OR MORE RACERS CANNOT SHARE ONE MOTORCYCLE. IN OTHER WORDS, ONLY ONE RACER CAN REGISTER IN THE PROGRAM,
QUALIFY FOR PAYMENT, AND RECEIVE PAYMENT PER MOTORCYCLE VIN#. IF THE MOTORCYCLE WAS A SECOND PARTY PURCHASE, PLEASE
PROVIDE A COPY OF THE NEW OWNER REGISTRATION.
LIST THE SUZUKI MODEL(S) YOU RACE, AND LIST THE LAST 9 DIGITS OF YOUR FRAME #
(i.e., JS1RJ18C942100007):
EXAMPLE: MODEL BEING REGISTERED 2004 DR-Z400 _
Frame/VIN# 9 4 2 1 0 0 0 0 7
MODEL BEING REGISTERED_________________________________ Frame # ____ ____ ____ ____ ____ ____ ____ ____ ____
MODEL BEING REGISTERED_________________________________ Frame # ____ ____ ____ ____ ____ ____ ____ ____ ____
MODEL BEING REGISTERED_________________________________ Frame # ____ ____ ____ ____ ____ ____ ____ ____ ____
Please send a new release when you buy additional RM, RM-Z or DR-Z models.
RACING INFORMATION
Your Suzuki Dealer_________________________________________ City ___________________________________ State ________
Racing Classification(s) ________________________________________________________________________________________
Race Organization(s) ________________________________________________________ Racing # ___________________________
SPONSORED RIDER AFFIDAVIT
(If the motorcycle is owned by another individual, the "sponsor" must complete the sponsored rider affidavit.)
I have agreed to sponsor the rider listed on this form. I am the registered owner of the vehicle and understand that no additional person(s) other than indicated will be
paid contingency from American Suzuki Motor Corporation.
Owner's Name ____________________________________ Owner's Signature ______________________________ Date ____________
Address _____________________________________________City ___________________________State______ Zip ___________
NAME, ADDRESS AND SIGNATURE OF SPONSOR IF SPONSOR IS UNDER 18
Name _________________________________________ Sponsor's Signature ______________________________ Date ____________
Address _____________________________________________City ___________________________State______ Zip ___________
I HAVE READ AND UNDERSTAND THE FOREGOING RELEASE.
Signature of Racer______________________________________________________________________ Date___________________
Signature of Parent or Guardian (if racer is under 18 years)__________________________________________________ Date_____________
SEND ONLY ONE FORM FOR THE CALENDAR YEAR. Remit to:
AMERICAN SUZUKI
P.O. BOX 1100
BREA, CA 92822-1100
ATTN: M/C CONTINGENCY
GIVE US YOUR DETAILS
