Print this form, fill it out, and send to:Fax # 425-271-7232
or mail to: PO Box 791 Bellevue, WA 98009
Please provide to the best of your ability the following information. We will contact you no later than 24 hours of receipt of your request. If you do not hear from us within 24 hours, please call us at 253-630-5130.
Buyer's Name  
Contact # Alternative #
E-Mail Address:
Who is the Gift For:
Address:
City: State: Zip:
Hm. # Wk. #
Recipient's E-mail Address
*Age:
Valid Driver's License Required Expiration:
Is this a Surprise? Special Occasion?
To: From:
Please Mail to:
Participant's Car ? (year,make,model)
Or Renting one of our 2008 Racing Sedans (Cobalt SS) for an additional $400.00.
Open topped cars require a roll-over hoop or factory option pop-up hoop.
Course Desired: (check one + date if known)  
     One Day High Performance Date Desired: $535.00 or $935.00 with 2008 School Racing Sedan $1,135.00 Lotus Elise
Afternoon Lapping Day Date Desired: Prerequisite-(1-Day HP driving Clinic) : $225.00 or $350.00 with 50 minute coach
All Day Advanced Lapping Day (Prerequisite- Day HP Driving Clinic): $260.00$260.00 or $385.00 (50 min. coaching) with private instructor
Advanced Driver's can rent our Lotus Elise for $200.00 per 30 minute session
Please note lapping fee is still necessary.
Please Note: This form is submitted to ProFormance Racing school as standard e-mail. Please do not include information such as, credit card numbers, passwords, or any information that requires security encyption. 
Amount Owed:
VISA or MasterCard CC Please call and leave this information below on our private voice mail at
253-630-5130. We will contact you immediately to confirm receipt of credit card information.
CC Number (only if faxing in)____________________________________Expiration Date:________
 
Signature____________________________________
No refunds are given for cancellation less than 7 days from scheduled date. Prices subject to change without notice. Sorry, but some restrictions may apply.
Refunds are subject to a 10% service charge.
   

If you do not hear from us wit in 24 hours, please call us at 253-630-5130 or fax your form again to 425-271-7232. We try very hard to respond to all correspondence the same day.

Contact
Don Kitch Jr.
ProFormance Racing School
(253)-630-5130
Fax (425)-271-7232
mobile(206)-369-0461