Welcome to the Powercruise Online Entry form for
Powercruise Brainerd International Raceway July 11, 12, 13 2014

If you require assistance completing this form please email admin@powercruise.com and we'll be more than happy to assist you. 
Personal Information (all sections must be completed)
Vehicle Owners Name : First Last
This is the Owner of Vehicle
Vehicle Drivers Name : First Last
This is the only person driving the car. One Entry Form per driver
For two drivers of the one car, please complete and pay for another entry.
Date of Birth : M D Y
Drivers License Number:
Drivers License Expiry Date : M D Y
Country :
Postal Address :
City :
State :
Zip Code :
Home Phone : (no spaces please)
Cell Phone : (no spaces please)
Email Address :
Club/Forum Affiliation :
Did you go to Powercruise USA in 2012? YES NO
Did you go to Powercruise USA in 2013? YES NO
Entered Vehicle Information (all sections must be completed)
Unregistered vehicles are accepted to enter Powercruise at the promoter's discretion only. All Unregistered vehicles must be pre-approved before your entry is processed. If you're unsure, then simply e-mail some pictures of your vehicle to the Powercruise Office at info@powercruise.com to make sure you're ok to enter your vehicle. You can continue with this Entry Form and payment and if you’re not accepted, we will let you know and issue a full refund. Either way you will hear back from the Powercruise Office very soon on whether your Entry Form has been accepted and approved.
Is the car registered/licensed ? Yes No
License Plate :
Year :
Make : (Ford,Chev., Nissan etc)
Model : (Mustang, Silvia etc)
Color :
Body :
Engine :
Induction :
Entry Fees & Options

By completing the Powercruise Entry Form you will automatically be entered into all of the events that take place at Powercruise including Cruising the track with your mates in your car, Burnouts, Powerskids, Drifting, Off Street Racing and the Show & Shine. It is your choice whether you go into all of the events or just one or two of the event. Please Note the Dyno Competition (if applicable) does incur an additional fee of $30 for 3 runs. This can only be paid at the Dyno area on the day of the event. The Powercruise Entry Fee covers the entire event and there are no fees for individual events or single day entries. Please read the Event Guide for more info. Please tick the boxes below to indicate what you would like to purchase on this form.

Entry Fee Before 12pm February 28th 2014 $70 $
Entry Fee Before 5pm July 10th 2014 $100 $
The Entry Fee of $150 is available at the gate on the day of the event.
Camping Fee Entrants only per night $10 (Qty ) $
Crew No Camping Crew Weekend Pass (No Camp) $50 (Qty ) $
Crew Camping Crew/Spectator Pass
(Camping 1 night)
$60 (Qty ) $
Crew Camping Crew/Spectator Pass
(Camping 2 nights)
$70 (Qty ) $
 
Powercruise Event Souvenir T-Shirt @ $25 each
Size $

Powercruise Event Souvenir T-Shirts will be sold at $35 on the day. Prepay before the event to help us with numbers and save yourself some money to put towards your tires. Prepaid T-Shirts will be available at the Powercruise Trade Stand at the event on the day. Any uncollected shirts will be donated to charity so please drop in and collect your prepaid shirts

 

I have read, fully understand and agree to all


Terms, Conditions, Rules & Regulations for Powercruise.

Total Fees Payable : $
Please proceed to payment section below
Payment Details & Options

Please complete the following payment information and click submit.

Name on Card:

Card Type:
Card Number: (16 Digits - no spaces)
CVV Number: (Last 3 numbers on Signature strip)
Expiry Date:
Amount:
Processing Fee: $ 4.00
Total Amount: $

Terms and Conditions
Please note: This form must be completed in full, Both the Entry Form and the Credit Card Payment Form must be received by Powercruise USA LLC before your order will be processed. Any incomplete or non legible forms will not be processed. Your payment may take a few days to be processed through our online system..

 

Check

If you would prefer to make payment by check and post your entry form to us, please make a check payable to “Powercruise USA LLC” for $
We accept Personal, Business and Bank Checks.

Then just print out your entry form and post it to us along with your cheque to:

Powercruise USA LLC
P.O Box 351
Brainerd MN USA 56401

Please allow up to 7 working days for your check to clear and payment to be processed.

Once your payment and entry has been processed you will receive a confirmation text message from us just confirmed that we have received and accepted your payment and entry form.

All fields must be completed before the Submit button will become available. If the Submit button is not available to be clicked on, this means you have missed or not completed one or more of the required fields above. Please check all fields are completed and then check the box �I understand and agree to these terms and conditions� above then the Submit button will work.