KZN RACING MEMBERSHIP FORM - 2019
Year for Membership *
Select the year for which you are applying for membership
First Name
Your answer
Surname
Your answer
Contact Email *
Your answer
Your Secretary's Email
The Email address of the person who, organises your entries, reads your mails and keeps you updated.
Your answer
Cell Number
Your answer
ID number
Your answer
Emergency Contact Name
Name of perrson to be contacted in the event of an Emergency
Your answer
Emergency Contact Number
The number at which the Emergency contact person can be contacted
Your answer
Relationship with Emergency Contact PErson
DECLARATION
Declaration by Candidate
I agree to be bound by the rules and regulations of KZN Racing and Motorsport South Africa.
Membership Fees
Bank Details
Banking Details:
Account Name: KZN Racing
Bank Absa
Branch 632005
Account Number 928 908 3844
INFORMATION TO COMPLETE MEMBERSHIP
Please forward proof of payment to : admin@kznracing.co.za.

For your MSA licence application contact:
MSA Sports Co-Ordinator:
Carmen Hill carmen@motorsport.co.za
Tel: 0861 672 672

Online MSA Licence : www.motorsport.co.za

Please send a copy of your MSA licence to info@kznracing.co.za when received

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