MICHIGAN KART CLUB
Date:___________
Check#__________
Cash:___________
MEMBERSHIP APPLICATION
Welcome to Michigan Kart Club. We are a nonprofit organization comprised of unpaid volunteers with the goal of promoting karting in Michigan. Each year we host one or two karting events in Michigan. In order to host those events we have to get information to those who are interested in kart racing. Even though we are non-profit, we have costs associated with web site maintenance, plus print and mailing fees. In addition, we need volunteers who can help us put on the events, be they racers, family members, or friends of racers. If you can help with pre-race setup, race logistics or in any other position, please indicate your preference on this form. This year we are pleased to offer members a $10 race entry discount in addition to web news, membership card and newsletters for your mailbox, so it imperative you signup before the season starts.
Annual Dues: $15 per Master Member
Associate members in same household, no charge
9952 Niver
Allen Park,Mi. 48101
Make Check Payable to: Michigan Kart Club, Inc.
Master Member Please fill out and mail the form below:
Name: | AMB Transponder No. | |||||
Address: | ||||||
City: | State | ZIP | ||||
Daytime Phone: | Evening Phone: | |||||
Age: | Birth Date: | |||||
WKA No. | Expiration Date: | |||||
Race Committees Preferred | SSN: ( Last 4 Digits) | |||||
Associate (Family) Member
Name: | AMB Transponder No. | ||
Daytime Phone: | Evening Phone: | ||
Age: | Birth Date: | ||
WKA No. | Expiration Date: | ||
Race Committees Preferred | SSN: ( Last 4 Digits) | ||
Associate (Family) Member
Name: | AMB Transponder No. | ||
Daytime Phone | Evening Phone | ||
Age: | Birth Date: | ||
WKA No. | Expiration Date: | ||
Race Committees Preferred | SSN: ( Last 4 Digits) | ||
Race Committees: A) Registration, B) Grid, Track Pickup (Race karts) D) Scales E) Fuel Tech F) Trophies
G) Pre-race Safety Tech Inspection H) Anywhere Needed
Thanks for Joining! Welcome Aboard!