First Name
*
Last Name
*
Phone Number
Email Address
*
Street Address 1
Street Address 2
City
State/Province
AL
AB
AK
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Zip/Postal Code
Country
US
CA
Instagram User Name
Instagram Follower Count
Facebook URL
Facebook Likes
Twitter URL
Twitter Followers
YouTube URL
YouTube Subscribers
Why do you want to work with AMSOIL?
Are you currently affiliated with AMSOIL or use our products? If yes, explain
Why do you think you would make a good AMSOIL Ambassador?
Other Sponsors
Currently Sponsored
Snowmobile
Motocross
ATV UTV
Marine
Other Powersports
Oval Track Racing
Kart Racing
Off-Road Truck
Diesel Truck
Other Racing
I am signing up for the NHRA contingency plan
*
Yes
No
Additional Comments
Did an AMSOIL dealer refer you to AMSOIL?
Yes
No
Name or Referral Number
If yes to the question above or you work with a dealer, provide the dealer name or referral number
Upload Files
Upload Applicable Documents (Race Schedule, Images, Resume, Sponsorship Proposals) Max File Sz 20MB