Michelin Tires Race Contingency

2011 "Team Michelin" Contingency Enrollment


Welcome to the Team Michelin contingency enrollment process. Enroll now to be eligible to receive contingency awards for select events accross the nation. Simply complete the form below to enroll in the program, pending approval by Michelin.   Michelin Privacy Policy

Note: All fields marked with [ * ] are required. Your valid social security number is required for tax reporting purposes. Supplying incorrect information will result in non-payment of contingency earnings.

Personal Info


First Name


Last Name


Date of Birth





  Required for tax purposes




Address Line 1:


Address Line 2:









Postal Code:


Account Activation - $49.95 USD


Credit Card Type


Credit Card Number


Expiration Date



This is the 3 or 4 digit number on the back of your credit card.


Your credit card will not be billed immediately. You will only be billed after the 7 day acceptance period.





If you are an existing XTRM member, please provide your Username and Account Number for faster enrollment.
* Your XTRM Account number begins with PAT.


XTRM Username:


XTRM Account No.:


Already have a Pro Card?   Yes  View Card


Competition Info

Team Name:

AMA Member No.:


Competition No.:

This is the number you use during competition on your vehicle, number plate, or yourself.


Alternative No.:




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I Agree to Terms & Conditions



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