Infield Experience Reservation Form

Fax In Form

Send to: 1 - 847 - 498 - 6353

C/O Ed Schubert

Personal Information:

Are you a New or Returning customer?

Make a name for your group. If you have others that will be joining you as well but they are 

paying separately please let them know your group name to register under. 

This is make sure we group the same parties in the same motorhomes.

Examples: The Boston Clan, Smith Party, Etc...

Name of your Group:____________________________________________

First Name:___________________ Last Name: _________________________

Street Address:______________________________________________

__________________________________________________________

Phone: _______________________ Cell Phone: _______________________

Email: ___________________________________________________________

Package Information:

Tour you are choosing: _____________________________________

Date of Event:  Month: ______________Day: ________  Year: _________

Payment Options:

Number of Participants you are paying for: ________

Names of participants you are paying for:

___________________________________________________________

___________________________________________________________

____________________________________________________________

Any Participants under the age of 14?

___________________________________________________________

___________________________________________________________

____________________________________________________________

 Payment Option: Check  Money Order Credit Card

Make Checks or money order out to Infield Experience

Credit Card orders

Card Type: _______________ Card Number: _________________  Expiration Date:_________________

Full Name on Card:__________________________________________________________

Number of Participates: _________________

Total amount of package(s):_________________

  Total Amount of deposit:_________________

Total amount due 45 days prior to event:_________________

Kansas City Participates

You may purchase Fan Walk Passes Friday, Saturday, & Sunday are available

number of tickets purchasing for Friday:_________________

number of tickets purchasing for Saturday: _________________

number of tickets purchasing for Sunday: _________________

Other information needed:

Soda Preferences: Give one or more.

Coke  Diet Coke  Pepsi  Diet Pepsi  Caffeine Free Pepsi

Mountain Dew  7up Sprite  Other: ________________________

Favorite Drivers:_________________________________________________

_______________________________________________________________

Where did you hear about us? ____________________________________

Agreeing to all terms and conditions of our company.

  I confirm and authorized to your conditions on behalf of myself and all participates. Please sign your full name.

________________________________________________________________________