<form action="https://khmtt.com/cgi-bin/khmtt_OnLineRegTandem.pl" method="post" name="Validate"><strong><span style="color: WHITE;">MESSAGE</span></strong><!-- [et_pb_line_break_holder] --><table><!-- [et_pb_line_break_holder] --><tbody><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --><td>Tandem Partner's USAC License:<!-- [et_pb_line_break_holder] --><input style="font-size: 16px;" maxlength="10" name="License" size="10" type="number"><!-- [et_pb_line_break_holder] --><input id="RiderName" name="RiderName" type="hidden" value="NAME"><!-- [et_pb_line_break_holder] --><input id="RiderUSAC" name="RiderUSAC" type="hidden" value="LLLL"><!-- [et_pb_line_break_holder] --><input id="RiderStartTime" name="RiderStartTime" type="hidden" value="SSSS"><!-- [et_pb_line_break_holder] --><input id="TranID" name="TranID" type="hidden" value="TRANID"><!-- [et_pb_line_break_holder] --><input id="Header" name="Header" type="hidden" value="HEADER"><!-- [et_pb_line_break_holder] --><input id="Desc" name="Desc" type="hidden" value="DESC"><!-- [et_pb_line_break_holder] --><input id="Amount" name="Amount" type="hidden" value="AMOUNT"><!-- [et_pb_line_break_holder] --><input id="Date" name="Date" type="hidden" value="DATE"><!-- [et_pb_line_break_holder] --><input id="AddOn" name="AddOn" type="hidden" value="ADDON"><!-- [et_pb_line_break_holder] --><input id="NoRaces" name="NoRaces" type="hidden" value="NORACES"><!-- [et_pb_line_break_holder] --><input id="Submit" class="et_pb_contact_submit et_pb_button" name="Submit" type="submit" value="Process Tandem" /><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --></tbody><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><div id="Validate_errorloc" class="error_strings"></div><!-- [et_pb_line_break_holder] -->