Club Membership Form

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Club Membership Form

Direct credits can be made to NZSRA, 12 3132 0064106 00 - Please add your name as reference. Or alternatively, purchase the annual membership online at www.nzsidecars.com

Filling out this form and paying will make you an NZSRA member until the next renewal date

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Email *

Your email

Name *

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Address *

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Phone *

Your answer

Mobile Phone

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Email *

Your answer

Machine

Your answer

Machine Year

Your answer

Race #

Your answer

A copy of your responses will be emailed to the address you provided.

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