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  • Contingency Claim Form

    Open Tire Classes Only

    Complete this form for each day that you won this contingency. All submissions will be verified with the official posted results. Any cheating will result in a permanent ban from this program.

    Toyo Tires contingency program details can be found HERE.

  • Driver's Information

  • If claiming for a team. Please input the team owner name in the "First Name" field and the team name in the "Last Name" field.

    Example - First Name "Johny Racer" / Last Name "Team NASA Racing" 


  • Event Details

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  • Car, Class, and Tire Information

  • Race Results and Compliance

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  • Four (4) pictures of your car showing required decals. Front, back, and sides. The fifth picture must clearly show mounted Toyo branded tire that you are claiming to run. Pictures must be taken at the track during the event with Geo Tagging enabled. Any modifications to the original pictures will result in denial of the claim and a permanent ban from the program.

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  • A summary of this redemption form will be emailed to you upon verification of your submission. Please attach it to your claim request at nasatoyobucks.com For any questions regarding this form or other contingency issues please send us a note at Contact Us page. 

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