Thank you for registering! Please scan form and email to sales@fortune-auto.net. Processing of this form may take a few weeks.

DRIVER INFORMATION

NAME:

PHONE NUMBER: EMAIL ADDRESS:

SHIPPING ADDRESS:

VEHICLE INFORMATION (PLEASE ATTACH HIGH RES PHOTOS OF VEHICLE)

MAKE: MODEL: MAKE: MODEL: YEAR:

MOTORSPORTS SERIES: CLASS:

INTENDED EVENTS:

II hereby give Fortune Auto North America consent to use content related to Fortune Auto of myself, my motorsports successes, and vehicle equipped with Fortune Auto Suspension for marketing and promotional purposes such as social media, advertising, fliers, etc. All racers must register their vehicle for eligible awards and must apply a minimum of 2 Fortune Auto decals (provided by Fortune Auto). No competing suspension manufacturer decals are allowed on the proposed vehicle and one decal must be applied directly on each fender of the vehicle. Product use is required for participation in this program. Submissions including high quality pictures arare required after every competitive event which will be used for promotional purposes. Pre-Registration is required to be eligible for this program. This contract may be terminated if all conditions are not met and and individual will be charged full MSRP pricing.

AUTHORIZED SIGNATURE: DATE:

OFFICE USE ONLY

APPROVED BY: DATE:

APPROVED PRODUCTS:

SPONSORSHIP AND CONTINGENCYREGISTRATION FORM

FORTUNE AUTO NORTH AMERICA1495 OAKBRIDGE TERRACEPOWHATAN, VA 23139TOLL FREE: 877-227-0260