Memberships Application

The 2019 AURS membership fee is $50 (Please fill out a separate form for each driver)

MEMBERSHIP APPLICATION – Printable Application here

Membership Application

Amped Up Racing Series Membership Application

* NAME

First

Last

* Email

* ADDRESS

Street Address

Address Line 2

City

State

ZIP Code

* Phone

Website or Facebook Page

* Name of Member

* Driver Birthday

Class or Classes

Kart #

Chassis / Tire

* Name on Credit Card

* Credit Card Number

* Expiration Date

* Security Code

* Zipcode for Card

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