Club Membership Application

Membership Fees(Required)

Bank Details:

Africa-Offroad Racing, Nedbank Savings

Account No.: 2004513608

Branch Code: 198765

Personal Details

Postal Address(Required)

Contact Details

Preferred Contact Method(Required)

Medical Details

Bike, Quad or Car Details & Class to Participate in:

Please select the type and enter which class.
License Type
Max. file size: 8 MB.
Name & Surname(Required)
Parent / Guardian (If under 21)
DD dash MM dash YYYY