2014/2015 Road Race Contingency Registration Form

THIS FORM MUST BE COMPLETED IN FULL TO RECEIVE CONTINGENCY!

* = Required field.
This agreement is made this 10/21/2014, by and between Yamaha Motor Corporation, U.S.A. and:
Rider's Name

Rider's Legal Name (if different)

I would like to receive information by email from Yamaha Motor USA. My information will not be sold, nor distributed to anyone outside the Yamaha network.
 Yes  No

I want to receive text alerts from Yamaha on my mobile phone
 Yes  No

Please provide your social media information below so we can follow and keep up with you throughout the season.

 VIN 1: * Model [   ] 2015 Race Season 2016 Race Season
 VIN 2:   Model [   ] 2015 Race Season 2016 Race Season
 VIN 3:   Model [   ] 2015 Race Season 2016 Race Season
 VIN 4:   Model [   ] 2015 Race Season 2016 Race Season

Rider agrees that Yamaha shall have a license to use rider’s name, signature, initials, likeness, photograph and similar materials in connection with the advertisement, promotion and sale of products distributed by Yamaha and any subsidiary of Yamaha.

  • Riders who have not turned in a 2014 Contingency and W-9 Form by October 31, 2014, will not be eligible for contingency earned in 2014.
  • Only 2013 and newer U.S. model YZF-R6 and YZF-R1s purchased in the United States are eligible.
  • YZF-R1 and YZF-R6s must maintain standard bodywork appearance to be eligible. YZF-R6s will be eligible for contingency in 600cc classes only, not in Open classes.
  • Riders who have not turned in a 2015 Contingency and W-9 Form by October 31, 2015, will not be eligible for contingency earned in 2015.
  • Only 2014 and newer U.S. model YZF-R3, YZF-R6 and YZF-R1’s purchased in the United States are eligible.
  • YZF-R3’s, YZF-R6’s and YZF-R1’s must maintain standard bodywork appearance to be eligible.
  • YZF-R6s will be eligible for contingency in 600cc classes only, not in Open classes.
  • The correct "Tuning Fork YAMAHA" logo must be prominently displayed on the left and right side of each machines fairing to be eligible.
  • The correct “bLU cRU” logo must be prominently displayed on the windscreen of each machine to be eligible.
  • Upon 2015 registration approval, new bLU cRU members will receive a reloadable Yamaha bLU cRU debit card within 4 to 6 weeks.
  • All winners will be issued credit to their reloadable Yamaha bLU cRU debit card after Yamaha receives confirmation of results from the promoter and rider has completed a registration form and valid I.R.S. Form W-9.
  • Promoter must confirm within 30 days of event that rider met qualifications before contingency will be paid. Yamaha will not pay an event when the promoter fails to send in race results within 30 days of the race date.
  • There must be a minimum of 7 riders in a class to be eligible for contingency.
  • Must have a valid U.S. social security number to be eligible.
  • Program details are subject to change without notice at Yamaha Motor Corporation's sole discretion.
I have read, understand, and agree to the contingency program terms as listed.
 AGREE  *

* = Required field.
Yamaha Motor Corporation, U.S.A. 6555 Katella Avenue, Cypress, CA 90630 Attn: Contingency
Phone: 714-761-7509 | Fax: 714-229-7974 | Email: racingcontingency@yamaha-motor.com