Program Registration

Subaru Contingency Program

Registration is REQUIRED for the Subaru Rally Contingency Program prior to applicable event day(s). You will remain on this program for the remainder of the calendar year unless you specify otherwise.

After submitting the form below, you will be contacted via email by a representative of the program to confirm your registration. All registrants will be required to provide their Social Security # or EIN prior to receiving any payments via this program. Details on how to provide this information will be supplied after registration is submitted and approved.

1.	Competitor Information
	Driver Name
	Co-Driver Name
	Rally America Car #
	Mailing Address (for mailing payment checks and/or decal kits) If PO Box, please also provide street address for UPS delivery of decal sets.
	Phone #
	Email Address

2.	Your Rally Car Details :
	Subaru Model
	Model Year
	Rally America class
	Decal Color Choice (please pick one that contrasts with your paint scheme)	White Lettering Black Lettering (* click here to view decal information and placements. )

3.	You intend to run:
	(* check one)	Super Production class in Rally America National Championship events Any class in REGIONAL events that run concurrent with a Rally America National Championship Event Not sure yet or mix of both of the above

4.	Notes or Questions?

Subaru Contingency Program

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