Memberships Application

The 2018 AURS membership fee is $50     (Please fill out a separate form for each driver)

We have 5 sets remaining at a discounted rate after 5 sets are purchased MG Tires maybe purchased with membership at regular price $210 per set

MEMBERSHIP APPLICATION – Printable Application here

Membership Application

Amped Up Racing Series Membership Application

* NAME

First

Last

* Email

* ADDRESS

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

* Phone

Website or Facebook Page

* Name of Member

* Driver Birthday

Class or Classes

Kart #

Chassis / Tire

Sponsor

* Name on Credit Card

* Credit Card Number

* Expiration Date

* Security Code

* Zipcode for Card

* Purchase tires? SET MG RED 4.5 / 4.5 SET MG RED 4.5 / 7.10 SET MG RED 4.5 / 6.00 SET MG YELLOW 4.5 / 7.10 (Shifter Class) SET VK 4.5 / 7.10 (Spec Class) NO TIRES

Please click on what set of MG Tires you would like to purchase. If you do not wish to purchase tires at this time please select No Tires