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NJBMX State Qualifier Pay me securely with any major credit card through PayPal! Pre Registration Form

Pay me securely with any major credit card through PayPal!
Pay me securely with any major credit card through PayPal! Visa MasterCard Discover American Express eCheck

Instructions for using this form:
1. Select qualifier, Enter Rider Name. Click on Add to cart.
2. Enter Date of Birth and Class. Click on Add to Cart.
3. Enter NBL Numbers Click on Add to cart.
4. Select races to register for by clicking Add to Cart next to each race rider will be racing.
View cart to see information entered.
Edit cart as needed.

Because of the PayPal format one penny will be added for Rider Name,
License numbers and DOB.

Consider it a contribution to the State Association. Thank You.

Once cart has all the correct info you want hit check out from cart.
Which State Qualifier
Riders Name
Date of Birth mm/dd/yyyy
Class
NBL 20" License #
NBL Cruiser License #
Day 1 Day 2
Class Points Only
Class Points Only
Cruiser Points Only 
Cruiser Points Only
Open
Open
Class W/ Trophy
Class W/ Trophy
Cruiser W/ Trophy
Cruiser W/ Trophy
16 & Over / Pro Am
16 & Over / Pro Am
By using this service you will incur a handling fee based on amount of the transaction.
This is the PayPal fee not profit for the State.
This service has been added for your convince.
The Deadline for Paypal payments is 48 hours prior to the opening of registration on day one of the scheduled event.
If a paypal payment is made after the deadline pre registration is not valid. You must bring a printed copy of the PayPal payment to receive credit towards post registration fees.
There are no refunds on PayPal Payments only Credits towards future State Events.