Ford Performance

2015 NASA Championships Contingency Program

Program Name: 2015 Ford Performance NASA Championships Contingency Program

Payout Schedule 1st Place 2nd Place 3rd Place

5 or more starters $2,500 $1,000 $750

Contact Information: Chris Cullen NASA Sponsorship and Communications Coordinator P.O. Box 2366 Napa Valley, CA 94558 [email protected]

Duration: 2015 NASA Championships (Eastern and Western States)

Registration ! Competitors must register for this contingency program 30 days before the NASA Requirements: Championship event with Ford Performance Parts online at: https://fordracingparts.com/register/default.asp ! Program eligibility requires competitors to submit complete registration information including a completed W9 Form 30 days before the NASA Championship event.

Usage 1. Competitors must compete with a 2005+ or 99+ to be eligible for Requirements: this program. 2. Decals Requirement: YES 3. Patch Requirement: Yes, Ford Performance on upper right chest. 4. # of Decals: 4 5. Location: One Ford Performance decal and one Ford Blue Oval decal must be prominently displayed on each side of the vehicle. No exceptions will be made for this rule. 6. Decal availability: Decals will be provided upon registering with Ford Performance Parts. Additional decals can be acquired by contacting Trenton Zeisler at Ford Performance: [email protected] or (313) 594-7349.

Class Eligibility: AI, AIX, Spec Iron, PTB, PTC, PTD, PTE, PTF, ST1, ST2, ST3, SU

Award Details: ! Award amounts listed above are CASH totals. ! A minimum of 5 starters per class are required before this contingency program is activated. ! Complete registration information including completed W9 form must be on file with Ford Racing for program eligibility. ! Product awards are presented to 1st-3rd place finishers for the main NASA Championship race only. ! Competitors may only collect contingency for a single class per race group. ! To collect contingency awards following the NASA Championships, please contact Ford Performance directly at the contact information provided above. ! Contingency claims must be presented within 30 days of the conclusion of the NASA Championships. ! Competitors may also be required to submit a copy of the official results along with a picture of their vehicle showing the required decals in place during the event. ! Contingency awards are non-transferable. ! See Payout schedule above for award amounts.

Additional This optional contingency program is verified by NASA and paid for by Ford Performance. Any Information: additional questions can be directed to the contact info above.

Ford Performance retains the right to change the program details at anytime during 2015.

National Auto Sport Assocition, Inc. ● P.O. Box 2366 ● Napa Valley, CA 94558 ● Tel: (510) 232-6272 ● www.nasaproracing.com As of 5-22-15

2015 FORD PERFORMANCE NASA CONTINGENCY PROGRAM CLAIM FORM

REGISTRATION: Competitors must be officially registered to participate in this program with both NASA and Ford Performance before the date of the event in which you will be competing. No awards will be paid if you are not enrolled prior to competing. Additionally, competitors must complete and submit this Claim Form no later than 30 days after the event after each eligible event.

DECAL REQUIREMENTS: All competitors must display four Ford Performance decals – Ford Blue Oval on each side of the car and Ford Performance decal on each side of the car. The required decals are provided upon registration with Ford Performance Parts. Additional decals are available by contacting Trenton Zeisler at Ford Performance - [email protected] or (313) 594-7349.

VERIFICATION/AWARD PAYMENT: Product use and decal placements must be verified on-site by a tech official - who must sign this claim form. Claim forms may be signed to verify decal placements and product use prior to the posting of Official Results. Completed claim forms must be submitted with a copy of the Official Race Results and will be verified upon receipt. Finishing positions will be verified by the NASA Staff; awards will be made to legal finishers only. Payment will be issued by Ford Performance within approximately 45 days of claim receipt.

DRIVER EVENT NAME:______LOCATION:______

ADDRESS: ______EVENT DATE:______CITY:______FINISH STATE:______ZIP:______POSITION:______

DAY PHONE:______CLASS: ______CAR # ______

EMAIL:______CAR MAKE / MODEL / YEAR: NASA MEMBER # ______

AWARDS PAID S.S # or Tax I.D: TO:______

By signing below, I understand and agree to the conditions of the Ford Performance Contingency program and acknowledge that I have never been compensated for the above claim.

______DRIVER/CAR OWNER SIGNATURE DATE

The required product use and decal placement of this competitor has been verified on-site in post-race tech by:

______TECH OFFICIAL SIGNATURE NASA MEMBER NUMBER DATE

SUBMIT TO: For fastest processing, upload your claim form to NASA’s Contingency Upload Page: https://www.nasaproracing.com/contingency_redemptions/new?contingency_id=117