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The details below will be saved to our computer to help us process your membership. Car details are used to enhance the result listings.

You should at least complete those fields marked in bold

Contact information:

Name
Street Address
Address (cont.)
City
County
Postal Code
Mobile
Home Phone
E-mail

Personal Information

Under 16?

Yes No

Driver Details

BRCA Number


Classes you race (1/10th electric, 1/10th IC)

Classes

Club Member ?

Yes No

Crystals

    

   

   

   

Your Cars (you may have one car with a personal transponder and another without)

Car1

Make


Model

Personal Transponder Number if installed on this car

Car2

Make


Model

Personal Transponder Number if installed on this car

The End