Join CSRA

Competitor

Surname *

First Name/s *

ID No *

MSA lic no *

Cell no *

Email *

Postal *

Postal code *

HMG Memeber *
 Yes No

 

Emergency contact

Surname *

First Name/s *

Cell no *

Email *

Medical Aid *

Membership No. *

Bike 1

Make

Series

Year

Capacity (cc)

Race no

CSRA formula
 One Two

 

Bike 2

Make

Series

Year

Capacity (cc)

Race no

CSRA formula
 One Two

 

Subscription details

FNB On Line - Smart Account

Branch Code: 250655 (universal)

Acc: 60631012006

Reference: use your surname

 

Notes: Membership is subject to committee approval and subs being paid 2018 membership cost is R1200 if not an HMG member, R850 if you are an HMG member