Join CSRA

    Competitor

    Surname *

    First Name/s *

    ID No *

    MSA lic no *

    Cell no *

    Email *

    Postal *

    Postal code *

    HMG Memeber *
    YesNo

     

    Emergency contact

    Surname *

    First Name/s *

    Cell no *

    Email *

    Medical Aid *

    Membership No. *

    Bike 1

    Make

    Series

    Year

    Capacity (cc)

    Race no

    CSRA formula
    OneTwo

     

    Bike 2

    Make

    Series

    Year

    Capacity (cc)

    Race no

    CSRA formula
    OneTwo

     

    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