2023 Registration

Emzone Radical Cup Canada presented by Michelin

2023 Radical Registration live

Entrant Information

The Entrant shall be deemed as the Team Representative for the duration of the season. Please see Articles 2.5 and 2.6 of the Sporting Regulations for details regarding Registration Procedures and Entrant Responsibility.

A copy of this form will be sent to this email address.
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Billing Address

This address will be used for invoicing

Address (Name)
Address (Name)
First
Last
Address
Address
Address 1
Address 2
City
Province
Postal Code
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Shipping Address

Address (Name)
Address (Name)
First
Last
Address
Address
Address 1
Address 2
City
Province
Postal Code

Team Information

Maximum file size: 10MB

Team Logo ( JPG, PNG, EPS format permitted )
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Second Choice
Third Choice

Series Registration Payment Options

Prices are subject to changes and taxes.
Online payments are subject to a proccesing fee.

Apply discount code before selecting product type for discount to be applied.

10% discount applied on Total

Product

Series Registration Fee (Mandatory): $ 2,950.00 CAD

Product

Full payment in advance: $ 16,560.00 CAD

Product
Product
Product
Product
Product

10% discount applied on Total
Checkboxes

Please make cheques out to:
Franczak Enterprises Canada Ltd.
23 Hannover Drive
St. Catharines, Ontario
L2W 1A3

Credit Card

A non-refundable 3% processing fee is automatically applied to all Credit Card and PayPal transactions.

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