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

Filling out this form and paying will make you an NZSRA member until the next renewal date
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Email *
Name *
Address *
Phone *
Mobile Phone
Email *
Machine Year
Race #
A copy of your responses will be emailed to the address you provided.
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