KWRC membership request form
Use this form to join or renew your membership with KWRC. It's not necessary to fill out all the fields if you are uncomfortable sending that data. Membership fees for 2021(no fee if you were a member in 2020) are $30.00 and you can pay by Interac transfer to
martinl@oxford.net
(use password KWRC), mailing a cheque made out to KWRC to 174 Thames St. S., Ingersoll, ON N5C 2T5 or bring cash or a cheque to a meeting. You can also pay by credit card through MotorSportReg.com at
http://msreg.com/KWRC2021
We don't share or sell your information except as required by CARS & RSO for the purposes of determining voting eligibility or issuing licences.
* Required
Last Name
*
Your answer
First Name
*
Your answer
Steet Address
Your answer
City
Your answer
Province / State
Your answer
Postal / Zip Code
Your answer
Phone
Phone number with area code
Your answer
email address
*
Your answer
Add my email address to KWRC's mailing list?
Generally 1 or 2 emails a month with club news or events.
Yes
No
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