Suzuki Contingency Registration Form
Note: Please Print Clearly to ensure information is legible.
Name ___________________________________________________________
Address _________________________________________________________
City__________________________________Province___________________
Postal Code ___________________ Phone # __________________________
Racing Classification: Pro ___________ Amateur ____________
License Issued by: ASM ______ RACE______ AMCRA _____
CMRA______ WMRC_____ EMRA_____
License number _______________ Competition number ______________
Suzuki Motorcycle(s) being raced:
Model
Serial Number
________________________
________________________________
________________________
________________________________
________________________
________________________________
Registrations must be received at Suzuki Canada by May 31
st
, 2003. Registrations that
arrive after May 31
st
will not be eligible for any of the previous month(s) contingency
awards. It is your responsibility to ensure Suzuki Canada Inc has received the registration
form.
Motorcycles must be 2000, 2001, 2002 & 2003 Canadian models, purchased in Canada to
qualify for contingency.
There must be a minimum of 8 riders starting in a class for it to qualify for contingency
awards.
Fax or mail this registration form to: Suzuki Canada Inc., 100 East Beaver Creek Road,
Richmond Hill, Ontario L4J 2Y6 Fax (905) 764 1574
