2022 CHAMPION OIL CONTINGENCY SIGN-UP FORM

2022 CONTINGENCY SIGN-UP FORM

Upon completion of the on-line form below, contingency inquirer will be mailed (2) Champion Racing Motor Oil decals or (2) Champion Blue Flame Diesel Engine Oil decals along with a letter from Champion approving the sanctioned race series/program/driver submitted.
After registration - racer must email digital photo(s) of the race vehicle displaying the Champion Racing Motor Oil decal or the Champion Blue Flame Diesel Engine Oil decal to marketing@championbrands.com
For information about Series or Track Sponsorships, please send inquiry by email to racer@championbrands.com
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Verify E-mail*
Website
ex: www.racer.com
Facebook
Instagram
YouTube
Type of Racing
ex: dirt track
Sanctioned Race Series you will be competing in 2022
Number of Events in 2021
Heading
Type of car
Engine Builder
Types of automotive lubricants/chemicals used regularly

Motor OilsBrake FluidsTransmission FluidsGear OilsCoolant AdditivesBreak-In OilsDiesel AdditivesFuel AdditivesOctane BoostersBrake CleanersCar Detailing ProductsOther
Where do you plan on purchasing Champion products from?
PR Representative?
Current Sponsors (list up to 6) - Optional
Should be Empty:

2022 CONTINGENCY SIGN-UP FORM