AMC Summer Membership

AMC Promotions 2024 Summer Championship Membership

Fill out the form carefully to be registered in the 2024 AMC Promotions Summer Championship.
Riders Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Preferred Race Number*
ACU Licence Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Mobile Number*
Membership*
Declaration

By completing this form I am agreeing to be a member of AMC Promotions for the 2024 Summer Championship under the ACU and ACU West South Wales Centre. Membership is non refundable.
Next Step

Once you have completed this form, the AMC Promotions team will email you to advise how to pay for the membership. Once payment has been received you will receive a confirmation email including confirming your race number.
Should be Empty:

AMC Promotions 2024 Summer Championship Membership