KZN RACING MEMBERSHIP FORM - 2021
Year for Membership
Select the year for which you are applying for membership
2021 - Annual Membership
2021 - One event Club Membership-WOW Rider Only
2021 - WOW Upgrade Membership to full membership
Your Secretary's Email
The Email address of the person who, organises your entries, reads your mails and keeps you updated. Only if different to your Email address.
Emergency Contact Name
Name of perrson to be contacted in the event of an Emergency
Emergency Contact Number
The number at which the Emergency contact person can be contacted
Relationship with Emergency Contact PErson
Declaration by Candidate
I agree to be bound by the rules and regulations of KZN Racing and Motorsport South Africa.
Primary Member = R300 perperson
2nd and following family member = R200 per person
One Event Membership - R60.00 (No Family Discount)
WOW Upgrade Membership - Full membership less membership paid to date
Account Name: KZN Racing
Account Number 928 908 3844
INFORMATION TO COMPLETE MEMBERSHIP
Please forward proof of payment to :
For your MSA licence application contact:
MSA Sports Co-Ordinator:
Tel: 011 675 2220
Online MSA Licence :
Please send a copy of your MSA licence to
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service