The Great American Run 2008 Event Entry Form
Sunday 7th September – Saturday 13th September 2008

 

 
 

Please complete this form, sign and return with your relevant deposit payment. We will need to receive a completed Entry Form before your space on the event will be reserved.

 

VEHICLE DETAILS
Make (leave this section blank if not yet known) Model Year License Plate

PERSONAL DETAILS
Entrant #01 Entrant #02 Additional Entrant (if applicable) Additional Entrant (if applicable)
First Name*
 First Name*
 First Name
 First Name
Last Name*
 Last Name*
 Last Name
 Last Name
Date Of Birth*
 Date Of Birth*
 Date Of Birth
 Date Of Birth
Residing Country*
 Residing Country
 Residing Country
 Residing Country
Address*
 Address
 Address
 Address
Zip Code*
 Zip Code
 Zip Code
 Zip Code
Telephone (day)*
 Telephone (day)
 Telephone (day)
 Telephone (day)
Mobile Phone
 Mobile Phone
 Mobile Phone
 Mobile Phone
Email*
 Email
 Email

 Email
Hotel Room Type*
Hotel Room Type
T-shirt Size*
T-shirt Size*
 T-shirt Size
 T-shirt Size
Detail any dietary requests, health or
medical problems
Detail any dietary requests, health or
medical problems
Detail any dietary requests, health or
medical problems
Detail any dietary requests, health or
medical problems
 

BOOKING SUMMARY
ENTRIES / ITEMS REQUIRED COST QUANTITY* SUB TOTAL*
The Great American Run 2008 (incl. 1 vehicle & 2 Drivers) $20,000 $
Additional Entrants (over and above 2 persons in any vehicle) $10,000 for 1 additional person
$9000 per person for 2 or more		 $
AUTHORIZATION
On behalf of the persons named above I request The Organizers to book the event packages as outlined
herein. I confirm that I amAuthorized on their behalf to accept the Terms & Conditions of entry as detailed
below and that I am over 18 years of age.		 TOTAL $
LESS HOLDING DEPOSIT $2000.00
Initials Required* Name* DISCOUNT** $
Date* TOTAL TO PAY $
 
PAYMENT DETAILS: If paying by check, download the entry form HERE and return to organizer
A 3% surcharge will be applied to all payments made by credit / charge card

Cannonball World Events LLC
111 Monument Circle
Suite 4800
Indianapolis
IN 46204, USA


FAX: 1-317-237-5135
EMAIL: info@cannonballworld.com

Sponsorship Info: 866-890-2234
Entrant Inquires: 800-619-8593

Tim Porter (Organizer) Direct Line: 714-391-2486 
Card Type*
Card Number*
Card Expiration Month*
Card Expiration Year*
3 or 4 Digit Code on Back of Card*
Name Exactly as it Appers on Card*
Card Holder Address*
City*
State or Province*
Postal Code*
Country*
Phone*
Email Address*(Avoid Free Email Accounts)
** $2000 discount applies to all previous Cannonball Run Europe and Great American Run Entrants (cannot be combined with any other discount)
We accept Visa, Mastercard, American Express
TERMS AND CONDITIONS (CLICK HERE FOR PRINTABLE VERSION)
I Agree*