KZN RACING MEMBERSHIP FORM - 2021
Year for Membership *
Select the year for which you are applying for membership
First Name
Surname
Contact Email *
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.
Cell Number
ID number
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
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Tshirt Size
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DECLARATION
Declaration by Candidate
I agree to be bound by the rules and regulations of KZN Racing and Motorsport South Africa.
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Membership Fees
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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: 011 675 2220
Online MSA Licence : www.msaonline.co.za

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