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SK Membership
rmcnamibia
2023-01-13T18:21:09+02:00
SWAKOP KARTERS MEMBERSHIP APPLICATION
Membership Type
Senior (N$ 880)
Junior U/18 (N$ 880)
Social (N$ 550)
Membership Levy
*
12 months (N$ 2420)
6 months (N$ 1320)
3 months (N$ 660)
Total
N$
Member Details
First Name
*
Last Name
*
ID Number
*
Date of Birth
Nationality
*
Age
*
Contact Number
*
Email Address
*
Street Address
*
Racing Number
*
Class
*
--select--
Bambino
Maxterino
Micro Max
Mini Max
Junior Max
Senior Max
DD2
DD2 Masters
Chassis Brand
*
--select--
BirelART
CRG
Energy Kart
Exprit
Formula K
Gold Kart
Haase
Intrepid
Kosmic
Mac Minerelli
Parolin
Praga
Ricciardo Kart
RS Kart
Sodi
Tony Kart
Top Kart
Previous motor club membership?
*
--select--
Yes
No
Medical Aid Details
Medical Aid Name
*
Medical Aid Number
*
Uploads
Upload Copy of Medical Aid Card
*
Choose File
No file chosen
Delete uploaded file
Upload Copy of ID/Passport
*
Choose File
No file chosen
Delete uploaded file
Upload a Profile Photo in Racing Gear
Choose File
No file chosen
Delete uploaded file
Upload letter of good standing from previous club
Choose File
No file chosen
Delete uploaded file
SUBMIT APPLICATION
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