Okahandja Motor Club Membership Enquiry form

Okahandja Motor

Club

Okahandja Motor Club Membership

We hereby invite you to become a member of the Okahandja Motor Club. Everyone is welcome, and you are not limited to just our club.

Application For Membership Okahandja Motor Club

Surname
Name
ID Number
Home Address
Tel: (Day time)
Fax (Daytime)
Work Address
Gender
Marital Status
Drivers License
Are you a member of another club?	Yes No
If so, Name Of Club
Sport Type you prefer:	Drags Oval Rally Motorcycle; Midgets Pipe car;
Email Address
I hereby declare that the information supplied is correct and true. ( My IP has been recorded as reference.)

Club Members that wishes to compete for The 2010 NATIONAL Championships,
please download the form below and fax it to 062 504004
http://www.motorsportnamibia.org/forms/2010_NMSF_Licence_Application.pdf

Please also send a copy of your ID photo to green@okahandjamotorclub.com

Also visit our town pages. www.okahandja.net

================================ THE FASTER THE BETTER