MEMBERSHIP FORM

All fields marked with * are required and must be filled
MEMBERSHIP FORM
Memberships must be paid in full prior to race date to qualify for points. Only paid members qualify for points. Two drivers may race the same vehicle, but both must be paid members. NWMRA memberships for the year are $125.00 on or before May 01 or $ 150.00 if after this date.
Member Information
Drivers Name:*
T Shirt size*
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone #:*
Email Address:*
example@example.com
Member last year?*

YesNo
Vehicle Name:*
Class
2nd Class

My Products

2026 Membership- before May. 1

$125.00CAD

2026 Membership- after May. 1

$150.00CAD

Total

$0.00CAD

No memberships will be issued by anyone other than the Registration Official and will not be issued without a receipt.
Payment can be made by Cash, Square or Etransfer: treasurer@nwmra.com Memberships are $125.00. on or before May 1^st and $150.00 after May 1^st. See website for online options WWW.NWMRA.COM
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