Membership

2011 Membership #:
Transponder #:
First Name:
Last Name:
Address:
Apt #:
City:
Province:
If other above:
Postal Code:
Date of Birth:
Age:
Email Address:
Day Phone:
Evening Phone:
Motorcycle Year:
Motorcycle Make:
Motorcycle Model:
Requested Bike # 1st Choice:
Requested Bike # 2nd Choice:
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I would like to receive information
from MMRS Sponsors
Motocross
Please Select Your Classes:
50 A
50 B
50 GP
60 A
60 B
80 A
80 B
Super Mini
Schoolboy
MX Tykes
Novice A
Novice B
Junior A
Junior B
Open Novice
250 Novice
Open Pro
Open 250
Ladies A
Ladies B
Expert
Over 30A
Over 30B
Over 40A
Over 40B
Senior
ATV
Please Select Your Classes:
ATV Mini 4-8A
ATV Mini 4-8B
ATV Mini 9-12A
ATV Mini 9-12B
ATV Super Mini 9-12
ATV Super Mini 4-8
ATV Junior (13-16)
ATV C (+16)
ATV B (+16)
ATV A (+16)
ATV Ladies (+13)
ATV Mini Tykes
ATV +30A
ATV +30B
ATV OPEN A & B
ATV OPEN C & Junior

Pay by Paypal
Membership Plan:
Security Code: CASE SENSITIVE
MEMBERSHIP FEE
1 Year Membership SINGLE $75.00
Early Bird - until March 31, 2012 FAMILY* $120.00
1 Year Membership SINGLE $85.00
After April 1, 2012 FAMILY* $140.00
* Family includes all immediate family members 18 years or under, students 18 years - 21 years.
* Membership gets you into all MMRS events for $5.00 and each membership is allowed one guest for $5.00
 
Payment can be submitted by
CHEQUE Make cheque out to: MMRS
Mail to:
M.M.R.S.
J. Maguire
1224 Centreton Rd.
Grafton, ON
K0K 2G0
CASH Please bring cash payments to us.
PAYPAL / DEBIT / CREDIT CARD Pay with PayPal/Debit/Visa/Mastercard via PayPal
If you do not have a PayPal account, you can click the PayPal link and then select to pay as a PayPal guest.




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