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TL
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Power Tower Support Nut
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Super-Lite Backers
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5/16" Square Backer
7mm Square Backer
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Deuce Bar
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Apparel / Decals
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Racer Support Application
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Who We Support
Liberty Products Inc. / Racer Support Application Form
* Printable Mail in Form -
Click Here
New Application / First time Applicant
( If Yes Check Box Please )
Name
Race Team Name
Home Phone
Daytime Phone
Fax #
Address
City , State , Zip
Will some be at this above address to accept UPS packages during the day?
Yes
No
If no one home during the day or you are using a PO Box please provide alternate shipping address below.
Address
City , State , Zip
Email Address
Website Address
Married
Yes
No
Spouse Name
Date Of Birth
Occupation
Job Description
Name On Race Results
Height
Weight
Jacket Size
Shirt Size
Types You Race In ?
Ice Drag
Grass Drag
Radar Run
Ovals
Snow Drag
Cross Country
Snowcross
Hill Climb
Hill Cross
Other
Race Circuit(s) you plan to attend ?
ISOC National
ISOC Regional
RMSHA
CSRA
MSXRA
ECS
MWR
SCM
NSRA
ESA
PRO ICE
PRO
NESRA
UCSA
USCC
CCMG
XMR
USSA
MIRA
MSDRA
COSDRA
IRACE
Other
Number of years racing
Sled / Racer(s) #
# events you plan to attend per year
Classes you compete in
List all snowmobiles
brand(s), model(s) , year(s)
Dealer you use. ( name city state & phone)
Please list other sponsors you currently have.
Race References ( Name & Phone )
Race Highlights / Past Results
Goals for upcoming season.
How will you promote Stud Boy in your area and raise awareness for other racers & trail riders.
Will you agree to provide Liberty Products with performance and technical feedback on our products.
Yes
No
Will you allow us to use your name and photo for promotional purposes
Yes
No
Will you display " Stud Boy" logo's on your sleds and trailer.
Yes
No
Will you forward a picture of yourself , your sled(s), trailers, etc. that displays our "Stud Boy" decals on them
Yes
No
I hereby verify that the above information is true and correct.
I understand that if I am approved the product I receive on this program is intended for racing purposes only. Abusing this program may cause immediate disqualification from any " Stud Boy" Support
Signed ( ** Type ) Name
Date
