Sanction Fee Payments Promoter Payment Processing Please be sure to have your results submitted as soon as possible. Track Name*Contact Name*Email AddressPhone NumberEvent Date* Date Format: MM slash DD slash YYYY Invoice Number (if applicable) Weekly Racing PaymentsUse the fields below to calculate your sanction fees for weekly racing events.Modified PurseEnter your total Modified purse to calculate sanction fees. If you did NOT run Modifieds leave this field blank.Modified Sanction FeeModified sanction fees are $75 plus 5% of your total purse Price: $ 0.00 Other Divisions Running SportMod Stock Car Hobby Stock Sport Compact Late Model Sprint Mod Lite Other Divisions TotalProduct Name Other PaymentsUse the fields below to pay for any memberships collected, advertising, etc.Memberships CollectedEnter the total dollar amount owed to IMCA for the memberships you collected. Be sure to send the application forms to us ASAP. Indicate how you will be sending the forms. ***NOTE: It is important that you send membership forms you have collected ASAP to: JRoot@imca.com I will be sending applications via:Sending applications via Email to JRoot@imca.comSending applications via Fax to 319-472-2218Sending applications via Postal ServiceMembershipsEnter the name(s) of the driver(s) that purchased licenses.Other PaymentsEnter the dollar amount to pay, and then select what the payment is for from the drop down menu. 'Other Payment' is for:SouvenirsAdvertisingSpecial Event FeesFranchise FeeSealsDecalsSponsorshipOther Membership Applications* I agree to send the membership applications as soon as possible.Race Results* I have sent/will be sending race results to: VLindsey@imca.com as soon as possible.Total Amount to be ChargedTotal $ 0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name Other Divisions Running SportMod ($65) Stock Car ($75) Hobby Stock ($65) Sport Compact ($25) Late Model ($100) Sprint ($100) Mod Lite ($65) Δ Please allow a few moments for your payment to be processed. Do not click the SUBMIT button twice or you will be charged twice.