TED CHRISTOPHER
2012 SK  MODIFIED®
TRACK CHAMPION 		WOODY PITKAT
2012 LATE  MODEL
TRACK CHAMPION

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STAFFORD MOTOR SPEEDWAY
ONLINE TICKET ORDER FORM

All orders must be paid for in advance.
Orders will be shipped to the address indicated below.

SHIPPING & HANDLING RATES FOR SEASON PASS ORDERS
ALL SEASON PASS ORDERS CARRY A $3.00 SURCHARGE.


Section 1 - Order Information

2013 SPECIAL EVENT TICKETS -
ALL PRICES INCLUDE 10% CT ADMISSION TAX
June 7, 2013
23rd Annual
TSI Harley-Davidson 125
Reserved Tickets - $35.00
G.A. Tickets - $33.00
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE
June 21, 2013
Inaugural
Valenti Modified Racing Series 80
Reserved Tickets - $30.00
G.A. Tickets - $27.50
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE
June 29, 2013
10th Annual
CARQUEST Super Saturday
Reserved Tickets - $35.00
G.A. Tickets - $33.00
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE
August 2, 2013
23rd Annual CARQUEST 150
Race #2 of the CARQUEST Triple Crown
Reserved Tickets - $35.00
G.A. Tickets - $33.00
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE
August 30, 2013
4th Annual
Shark Cycle 80
Reserved Tickets - $30.00
G.A. Tickets - $27.50
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE
September 13, 2013
3rd Annual
Lincoln Tech 80
Reserved Tickets - $30.00
G.A. Tickets - $27.50
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE
Sept. 28-Sept. 29, 2013
41st Annual CARQUEST Fall Final Weekend
Race #3 of the CARQUEST Triple Crown
Reserved Tickets - $42.00
G.A. Tickets - $38.50
Child 6-14 G.A. - $5.00
Child 5 & Under G.A. - FREE

Date:
Name:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
E-Mail:
Phone:

EVENT:
RESERVED SEAT
SECTION:
This box for reserved tickets only.
QUANTITY:
PRICE:
See table above for ticket price per ticket.
ORDER INFO:


Please indicate in the box above any additional ticket info, or use this area for any questions or special instructions.


Section 2 - Billing and Credit Card Information

Credit Card Type: Visa
MasterCard
Discover
American Express
Credit Card Number:
Expiration Month:
Expiration Year:
Security Code On Card:
Name on Card:
TOTAL Amount:

By clicking on the below "Submit Order Form" button, cardholder authorizes Stafford Motor Speedway to charge
the above credit card for services in the amount of the TOTAL shown plus any applicable taxes and shipping fees,
and agrees to perform the obligations set forth in the Cardholder's agreement with the issuer.

Your card is not charged until Stafford Motor Speedway receives and processes your order.