GNCC Direct Deposit Program

1. All GNCC purse earnings and monetary awards will be issued through the GNCC Direct Deposit Program. This program allows the option to receive payment by mailed check or direct deposit.

2. In order to issue payment, GNCC must receive a completed W-9 form from each recipient.

3. XC1 and XC2 Riders have the option to create a personal profile through the GNCC Rider Profile Account.

4. Through your personal Rider Profile Account you can upload promotionally appropriate photos and manage your sponsors, banking and other personal information, that we can access and use for media purposes. To create your account, contact GNCC for login information.

STEP 1: Rider Information

First Name *

Last Name *

Mailing Address *

City *

State *

Zip Code *

Cell Phone *

Email Address *

STEP 2: Purse Payment Options

PLEASE NOTE:

Riders will receive a 1099-MISC from MX Sports Pro Racing for purse earnings $600 and over for the year.

CHECK THE BOX below If you would like your earnings issued to a company or business rather than to you personally. Please specify the name of the company here and on the account information below. It is also important that the IRS form submitted (W-9 or 8233) be completed in the name of the company and that the FEIN of the company be submitted, NOT your personal SSN.

Yes, please use my business name.

Company / Business Name:

Choose One: *

Social Security No. *

Check Mailing Address

Check here if same as above address *

Mail to above address

Mail to address below

Please complete fields below if you want your check mailed to a different address.

Address Line 1

City

State

Zip Code

Bank Information

Choose One:

Phone Number *

Bank Name *

City *

State *

Zip Code *

Account Information: *

	Enter exactly as seen on check above
Routing Number	Enter exactly as seen on check above
Account Number	Enter exactly as seen on check above

Before we can issue payment, we must have one of the following IRS forms on file.

Click on the applicable IRS form below to download, save to your computer, complete, and upload in the box provided.

Form W-9 (For U.S. citizens, Resident Aliens and businesses)

Form 8233 (Exemption from withholding on compensation for Non-Resident Aliens)

Please upload a copy of the applicable IRS form here: *

Comments

STEP 3: Rider Profile Update

Through your personal Rider Profile Account you can upload promotionally appropriate photos and manage your sponsors, banking and other personal information that we can access and use for media purposes.

If you would like to create your own personal Rider Profile, please contact us for your login information to create your personal GNCC Rider Profile Account HERE or call 304.284.0084.

2015 GNCC Pro Purse Payout

	BIKE	BIKE	ATV	ATV	ATV	UTV
	XC1	XC2	XC1	Pro-Am	4x4 Pro	OA
1st	1250	600	1200	250	250	400
2nd	900	500	900	150	150	275
3rd	800	400	800	100	100	175
4th	700	300	700			100
5th	600	200	600			50
6th	500	100	500
7th	400		300
8th	300		250
9th	200		200
10th	150		150
11th	100		100
12th	100		100
13th	100		100
14th	100		100
15th	100		100

Total	$6,300	$2,100	$6,100	$500	$500	$1,000	$16,500	x 6
							$15,500	x 7

XC2 BIKE BONUS
Overall Podium				$250

PRO AWARDS				(12 Rounds)
XC1 ATV Holeshot: Wiseco							$250
XC2 ATV Holeshot: All Balls							$100
XC1 Bike Holeshot: All Balls							$250
XC2 Bike Holeshot: Hot Cams							$100


AMATEUR AWARDS
ATV AM Top Amateur (10am race): GT Thunder							$125
Bike PM Top Amateur (1pm race): American Kargo							$125

				HOLESHOT TOTAL			$950	x12

				SERIES TOTAL			$218,900

Thank you for your participation. We are here to serve you and hope that this process has been convenient. Please free to contact us directly if you have any questions regarding your application HERE or contact us at 304.284.0084.

GNCC Direct Deposit Program

STEP 1: Rider Information

STEP 2: Purse Payment Options

Check Mailing Address

Bank Information

STEP 3: Rider Profile Update

2015 GNCC Pro Purse Payout

BIKE

BIKE

ATV

ATV

ATV

UTV

XC1

XC2

XC1

Pro-Am

4x4 Pro

OA

XC2 BIKE BONUS

PRO AWARDS

AMATEUR AWARDS

SERIES TOTAL