Wufoo
2012 Publicity Form
Pikes Peak International Hill Climb
All information will be used by the event staff to promote and publicize your appearance at the 90th Pikes Peak International Hill Climb in print, broadcast and new media.
Name as used in competitions
First
Last
Gender
Male
Female
Date of Birth
MM
/
DD
/
YYYY
Age
2012 Vehicle Number
Vehicle-Year
Vehicle - Make
Vehicle - Model
Where do you live? (city, state, other nation and city)
What do you do away from competition? (your work)
Family? (spouse's name, kids, ages)
Your website?
Sponsor Website?
Why and when did you get into driving or racing
Are you a Pikes Peak Rookie?
Yes
No
How many time have you competed on Pikes Peak?
What was the first year you competed on Pikes Peak?
Pikes Peak results (year, division)
What other major events and finishes, year, etc.?
Did/do you compete in other sports? (which ones, any success?)
Tell us why you like to compete on Pikes Peak
Tell us something most people do not know about you
2012 Race Sponsors
After submitting remeber to send us the best picutre of you that you like
E-mail or mail one current head shot that is a minimum of 2" X 2". You can submit photos via e-mail to slehmpuhl@ppihc.com or mail them to the address below. Photos are not needed for co-driver/riders.
Pikes Peak International Hill Climb
1631 Mesa Ave, Suite E
Colorado Springs, Co 80906
Do Not Fill This Out