Algoa MotorSport Club membership Application 2017
Welcome and thank you for taking a few moments to complete the required information to process your AMSC membership application for the calendar year ending 31 December 2017. Please ensure that you have read the membership terms and conditions before proceeding.
Do You Accept the Terms and Conditions
To view the T&Cs please visit the club website at http://www.amsc.co.za/Resources in the "Standing Documents" folder
Required
Name
Your answer
Surname
Your answer
South African ID number
If you are not a South African Citizen please capture only your date of birth eg 19980731
Your answer
At the date of making this application are you younger than 18 years of age?
Member applications can only be processed if accompanied by the contact details of a parent or legal guardian.
Your answer
If you answered yes to being under 18 years of age please provide the contact details for your parent or legal guardian
Should this information not be supplied but is needed for verification your application will not be successful.
Your answer
Contact e-mail address
Enter a valid email address where formal correspondence and information may be sent to
Your answer
Contact Number
Enter a valid 10 digit South African contact number e.g. 0412223333
Your answer
Alternate contact number
Enter a valid 10 digit South African contact number. In the event of an emergency we recommend supplying an additional contact number e.g. 0825556666
Your answer
Domicile city or town
What is the name of the city or town that you reside in.
Your answer
What type of membership are you applying for.
If you are applying for a family discounted membership, please supply the name and surname of the main member
Your answer
What class of circuit racing do you plan to primarily take part in?
Verification password
Supply us with a password that we can use to validate that this membership application was submitted by you.
Your answer
How are you going to pay your fees?
Payment Date
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YYYY
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