Member Registration Form

Date:

Application Type:
RenewalNew

ID Card No:

Name and Surname:

Email address

Home Address:

Telephone:

Mobile no:

Mobile no in case of accident:

Membership Type:
RiderMemberMarshallHelperCommittee

Category:
AutocrossDestruction DerbyCircuit RacingMotocrossTrials

Type of Car/Motorcycle:

Upload a copy of your ID Card (pdf or jpeg):

Upload a copy of your Driving Licence (pdf or jpeg):

Upload a passport photo (pdf or jpeg):

Terms and Conditions:
Jiena niddikjara li bl-ebda mod ma nzomm responsabbli ghal hlas ta’danni ta’ kull xorta, lill ASMK, l-Ufficjali taghna, Marshals u Helpers ghal xi korriment, mewt, danni jew hsarat fil-mutur jew karozza li nista’ nsofri bhala rizultat tal-partecipazzjoni tieghi fl-attivitajiet organizzati minn l-istess ASMK. Jiena niddikjara li dettalji moghtija huma ezatti u li nobbliga ruhi li noqghod ghal-ligijiet u regolamenti tal-kompetizzjonijiet u attivitajiet ta’ kull xorta, kif organizzati mill-ASMK. Jiena nobbliga ruhi ukoll mal-Istatut tal-ASMK.

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