WE NEED DETAILS!
CIRCLE THE MODEL(S) YOU RACE, AND LIST THE LAST 9 DIGITS OF YOUR FRAME VIN#(i.e., JS1RJ16A1Y2100007):
EXAMPLE: RM80 RM125 RM250 Frame/VIN# 1
Y
2
1
0
0
0
0
7
RM80 RM125 RM250 Frame # __ __ __ __ __ __ __ __ __ RM80 RM125 RM250 Frame # __ __ __ __ __ __ __ __ __
RM80 RM125 RM250 Frame # __ __ __ __ __ __ __ __ __ RM80 RM125 RM250 Frame # __ __ __ __ __ __ __ __ __
RM80 RM125 RM250 Frame # __ __ __ __ __ __ __ __ __ RM80 RM125 RM250 Frame # __ __ __ __ __ __ __ __ __
Please send a new release when you buy additional RM models.
RACING INFORMAT I O N
Your Suzuki Dealer______________________________________City_________________________ State ________
Racing Classification(s) ____________________________________________________________________________
Race Organization(s)_________________________________________________ Racing #_____________________
SPONSORED RIDER AFFIDAV I T
( I f t h e m o t o r c y c l e i s o w n e d b y a n o t h e r i n d i v i d u a l , t h e " s p o n s o r " m u s t c o m p l e t e t h e
sponsored rider affidavit. ) I have agreed to sponsor the rider listed on this form. I am the re g i s-
t e red owner of the vehicle and understand that no additional person(s) other than indicated will be paid
contingency from American Suzuki Mo tor Corporation.
Owner's Name_____________________________________________________________________________________
A d d ress ______________________________________City______________________State________ Zip __________
Owner's Signature__________________________________________________________ Date __________________
If the motorcycle was a second party purchase, please provide a copy of the new owner re g i s t r a t i o n .
I HAVE READ AND UNDERSTAND THE FOREGOING RELEASE.
S i g n a t u re of Racer_________________________________________________________________ Date___________
S i g n a t u re of Guardian (if racer is under 21 years)____________________________________ Date___________
AMERICAN SUZUKI
P.O. BOX 1100
BREA, CA 92822-1100
ATTN: M/C CONTINGENCY
SEND ONLY ONE FORM FOR THE CALENDAR YEAR. Remit to:
ALL RM MOTORCYLES MUST BE REGISTERED THROUGH AMERICAN SUZUKI MOTOR CORPORATION FOR CONTINGENCY
PAYMENT. TWO OR MOR RACERS CANNOT SHARE ONE MOTORCYCLE. IN O THER WORDS, ONLY ONE RACER CAN
REGISTER IN THE PROGRAM, QUALIFY FOR PAYMENT, AND RECEIVE PAYMENT, PER MOTORCYCLE
