GT | North American Supermoto Shootout

Golden Ticket Submission

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Riders Name *

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Last

Email *

Contact Phone Number: *

Competition Classification:

Number of years competing in full Supermoto Series: *

Please list the Supermoto Organizations you have competed with: *

What prevented you from attending a regional NASS qualifying round? *

Please provide a Racer reference: *

First

Last

Racer reference contact number:

Race Organization reference: *

Race Organization contact number:

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