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  Dixie Karting Inc :: Profile details

Create Profile

The form below allows you to create a profile which is necessary to place orders. Do not forget that this information is essential to use our services correctly.

The fields marked with * are mandatory.


Profile details
 
Personal information
Title *
First Name *
Last Name *
Company  
Billing Address
Address *
Address (line 2)  
City *
State *
Country *
Zip/Postal code *
Shipping Address (leave empty if same as billing address)
Address  
Address (line 2)  
City  
State  
Country  
Zip/Postal code  
Note: Shipping address will be validated by UPS Address Validation Tool (US customers only)

NOTICE: The address validation functionallity will validate P.O. Box addresses, however, UPS does not deliver to P.O. boxes, attempts by customer to ship to a P.O. Box via UPS may result in additional charges.
Contact Information
Phone  
E-Mail *
Fax  
Username & Password
Username *
Password *
Confirm Password *
Newsletter
 
Site Announcements
  Announcements from the site administrators relating to the dixiekarting.com website.


Clicking "SUBMIT" you agree with our Terms & Conditions.
 
 Submit 


Information

Your password must be different from your username. We recommend you using passwords of 5 or more characters.

Your e-mail address must be valid. We use e-mail for communication purposes (order notifications, etc). Therefore, it is essential to provide a valid e-mail address to be able to use our services correctly.

All your private data is confidential. We will never sell, exchange or market it in any way.
For further information on the responsibilities of both parts, you may refer to our
Terms & Conditions 
 
 
 

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