TIMETOATTACK 2012 - Round 2 July 22nd 2012 Registration Form

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TIMETOATTACK 2012 - Round 2 July 22nd 2012 Registration Form

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TIMETOATTACK 2012 - Round 2 July 22nd 2012 Registration Form

Name:* Drivers' Name
I/C Number:* Identification Card Number
Address:* Your Residential Address	Increase Size Decrease Size
Contact Number:* Your Contact number, Mobile phone preferred
Email:* Email Address
Team Name (if any):* If you are representing a team or sponsor, you are welcomed to have your own team name to be included in the Hall Of Fame.
Sex:* Male of Female
Facebook Profile URL: For Photo Tagging Purposes (optional)
Racing License: Please provide your Race License number if any
Car Brand:* Name of car manufacturer Example: Porsche / BMW / Honda
Car Model:* Please list the model and generation code: Example: 997 GT3 RS / E46 M3 / FD2 Civic Type R /
Year:* The Year manufactured Example: 2008
Engine Displacement:* The engine in Litres Example: 3.6 / 3.2 / 2.0
Engine Type:* Please determine your engine type:
Tyre Brand:* Brand of tyres used to particpated Example: Goodyear / Michelin / Toyo
Tyre Model:* The model of your tyres Example: RS sport / Pilot Sport Cup / R888
Roll Cage Installed?*
I have provided accurate information and will make necessary payment within 48hrs:* To guarantee your participation slot, you are required to agree to the term stated and make necessary payment to the transaction details provided at the bottom	Agree
Payment Details: Price: All Cars: Participation: RM450 Transponder: RM100 Refundable at the end of the event Total: RM550 Hybrid Cars Only: Participation: RM400 Transponder: RM100 Refundable at the end of the event Total: RM500
Payments by Credit Card / Paypal: To Pay Via Credit / Paypal: Please make purchase through our Online Store
Payments by Bank In / Cash Deposit / Wire: To Pay Via Bank In / Wire / Cash Deposit: o Bank: RHB Bank o Account Number: 21227300032410 o Name: Zero To Hundred o International SWIFT Code: RHBBMYKL To Verify your payment please either: - Email a picture / screenshot of your receipt to: timetoattack@zerotohundred.com - MMS Picture / screenshot of your recepit to: 0122023031 Please state your Name and I/C Number when verifying.
Support / Enquiries: Registration / Sponsorship / Partnerships Email: timetoattack@zerotohundred.com Call: +6012 202 3031

Please Note: Questions proceeded by an asterisk (*) are compulsory.