2013 ESTA Reserved Parking
Please Print Clearly

Name:________________________________________________________________

Address:______________________________________________________________

City:_____________________________State_________Zip code:________________

Points Class: ________________________________ Competition # _______________


Emergency contact information:

Name___________________________________________________

Daytime phone:_________________________________

Evening phone:_________________________________

Cell phone: ____________________________________

Trailer plate number and State (if applicable)____________________________

Reserved parking spaces range from $100 for single car spot. $200 for Truck & Trailer size spot. 10% discount if paid by 3/1/13.
Reserved parking is valid on Summit E.T. points days at ESTA Safety Park. ESTA Safety Park is not responsible for loss or damage of any items stored or parked on the premises. The owner of items parked or stored on the premises is solely responsible for loss insurance at their expense.
Mail to: ESTA, P.O. Box 1189 Cicero, NY 13039. Attn: Parking