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2017 PMRA Membership Form


 

    Racing at PMRA requires a PMRA membership.

 This can be purchased for $50 per year or $15 for each Single Race.

First Name: _____________________________________________________

Last Name: _____________________________________________________

Address: _______________________________________________________

City, State, Zip:___________________________________________________

Phone Number: (_________)________________________________________
Email Address: __________________________________________________________

Bike#: ______________ (you can request any number as long as another racer is not using it)



Class of Competition: Please Circle

Pro Open / Top Gas / Super Comp / Super Gas / Super Street 9.50 / Pro E.T. / Street E.T. 

 

Annual Membership: $50.00 / Single Race $15.00

COMPLETE AND MAIL TO:

PMRA
18774 South Birch Hollow Way
Claremore, Ok 74017

CHECK OR MONEY ORDER payable to PMRA

DO NOT SEND CASH BY MAIL

 


 
             
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