GoFantasydragracing.com

SIGN UP HERE! Check the Bulletin Board for sign up dates!

Thank you for choosing to enter our race. You may pay by Visa, Mastercard, American Express, or Discover. We have several security systems in place. Your credit card number will be encoded by Verisign and will not be saved on our server. For security purposes your address and your credit card billing address must match. This will be the address where we will send your checks if you win. Failure to accurately complete this form may result in disqualification of your team.

Your credit card will be billed $49.95. This charge will appear on your credit card statement as Action Sales, the parent company of GoFantasyDragRacing.com. This charge includes access to all results and UNLIMITED trades on your team for the entire race series. Players who wish to run more than one team may purchase as many additional teams as they like for the discounted price of $39.95 (be sure to check the Multi-Team Discount box below the CC# and expiration date in the form to get the discount on your second or third team).

For those who prefer not to use your credit card online, we do offer
an alternative payment plan.

Questions can be emailed to RaceDirector@GoFantasyDragRacing.com. All information in this form will be held in the strictest confidence, including your email address. We do not believe in SPAM and will only send you email when it pertains to our game.

ENTRY FORM

First Name:
Last Name:
Middle Initial:
Title:

The address below must match the billing address for your credit card.

Street:

City:

State:

Zip Code:

Daytime Phone:

Evening Phone:

Email:

Credit Card #:

Expiration Date:

This team qualifies for the multiteam discount. ( I have already purchased my first team at the regular price of $49.95)

Please fill in your desired Team Name and Password below. Note that Team Name and Password must be at least 6 characters!

Team Name:
Password:

Attention: Team owners who are purchasing more than one team will have to complete a new entry form for each team selected. You must choose a new Team Name for EACH team. We suggest you use a variation of the same name. Example:
   Robertson Racing Team
   Robertson Racing Team2
   Robertson Racing Team3