Application for Track Days

MONT TREMBLANT RACE TRACK

This form is for application only and does not guarantee your acceptance. You will receive further notification following the receipt of this form.

NAME:*

Address:*

City:*

Prov / State:*

Postal Code:*

Telephone (daytime):*

Telephone Cellular:*

Email:*

Have you driven at CMT?YesNo

List related experience

Vehicle Information:

Year:*

Make / Model*

Color:

FEES : $ 695.00 + tax = $799.08 (by day)

Level of Experience	Select a date
Novice/Intermediate
Advanced

METHOD OF PAYMENT

Payment typeVISAMASTERCARDAMERICAN EXPRESSCHÈQUE

Card number

Exp.

Sec. ID

Name on Card

* If making payment by check please make payable to: PISTE MONT TREMBLANT INC. (GST # 717639702 – QST 1229747700)

I understand this to be an on-line pre-registration application and is subject to availability and confirmation of Piste Mont-Tremblant. If you need to cancel or postpone your participation, please note that to save your participation fee (less the $ 100 processing fee), you must contact us thirty (30) days before your first day of training. If you do not contact us, your payment will not be refunded.

Date

Dealership hours of operation
Mon - Fri	9:00am - 5:00pm
Sat - Sun	closed