2009 YZ/WR Contingency Registration Form

* = Required field.

This agreement is made this 11/7/2009, by and between Yamaha Motor Corporation, U.S.A. and:

Rider's Name*

* First Name:

Middle Initial:

* Last Name:

Rider's Legal Name (if different)

First Name:

Middle Initial:

Last Name:

* Address:

* City:

* State or Province

* Zip Code:

* Date of Birth:		* Social Security Number: - -

* Email Address:

* Telephone:
( ) -

List series and classes you plan to compete in during the 2009 season (80 characters max.):

List the 2008 or newer model YZ/WR motorcycle(s) you'll be racing by entering frame Vehicle Identification Numbers (VIN - 17 digits) below beginning with "JYA."

*				Model [ ]
				Model [ ]
				Model [ ]

*In the event the warranty registered owner will not be competing, but is sponsoring a rider, please complete the following:

Warranty Registered Owner's Name:

First Name:

Middle Initial:

Last Name:

Telephone:
( ) -

Relationship to Rider:

Rider agrees that Yamaha shall have license to use rider’s name, signature, initials, likeness, photograph and similar materials in connection with the advertisement, promotion and sale of products distributed by Yamaha and any subsidiary of Yamaha.

•	Yamaha must receive results within 45 days of event or November 30, 2009, whichever comes first, in order for contingency to be paid.
•	Riders who have not submitted a 2009 Contingency Form by November 30, 2009, will not be eligible for contingency earned in 2009.
•	2008 or newer YZ/WR models are eligible.
•	Only U.S. models purchased in the United States are eligible.
•	Must have a valid U.S. social security number to be eligible.
•	Contingency will be paid to the WARRANTY REGISTERED owner. However, if warranty registered owner will not be competing, but sponsoring a rider, contingency will be paid to the rider.
•	In cases of multiple divisions of the same class, Yamaha will pay one division as specified by promoter.
•	In cases of dual sanctioned events, rider will be paid for one event only.

•	Contingency will be paid on rider's best finish in one class only per registered machine per event.
•	There will be no multiple class payout's at the same event for the same machine.
•	The Yamaha logo and original color plastic components must remain on all YZ/WR machines to be eligible for contingency.
•	There must be a minimum of five riders in a class to qualify for contingency.
•	AMA professional SUPERCROSS, MOTOCROSS, SUPERMOTO, and FLAT TRACK NATIONAL winners will be paid by check.
•	All other winning riders will receive "YZ BUCKS" certificates, redeemable for parts and merchandise at participating Yamaha Dealers.
•	Program details subject to change without notice.
	Contact Yamaha Racing Contingency Dept. phone: 714.761.7509, fax: 714.229.7974 or email to: racingcontingency@yamaha-motor.com

You have read, understand, and agree to the contingency program terms as listed. AGREE *

* = Required field.

Yamaha Motor Corporation, U.S.A. 6555 Katella Avenue, Cypress, CA 90630 Attn: Contingency
Phone: 714.761.7509

Fax: 714.229.7974

Email: racingcontingency@yamaha-motor.com