TO REGISTER FOR RACING PLEASE COPY AND PASTE THE REGISTRATION FORM BELOW INTO AN EMAIL TO:  zero321@bigpond.com

You will be allocated a registration number via email from our Treasurer along with a total of the race fees and payment options.

HO WA State Champs Registration Form
Your registration is not confirmed until race fees have been received

Contact Phone:

Mobile:

Email:

Mailing Address:

Preferred Name:
(Will be used in publishing event results)

Preferred Method of Payment:
(Payment options: PayPal, Direct Deposit, Pay Cash in Person)

Other Racing Notifications:
Would you like to receive regular updates on upcoming HO slotcar group races? (Please specify Yes or No)

Please enter $5 in the boxes below to indicate which classes you are entering and total the race fees accordingly.

$5 Per Class	T-jets	$	Turbos	$	Super (G+) Stock	$	Subtotal $

Registration Fee - waived if you register and pay before 10th July  2009	$5
AHORA Membership Fee - waived if you are a current member,  please write your membership number here:	$5
Total Race Fees	$

PAYMENT

The total race fees due will be checked by our treasurer and payment details will be provided to you based on your preferred method of payment provided above.

General Information

Experience in slotcars:


Other Hobbies/Sports/Interests:


By completing and submitting this registration form, you accept the rules and code of conduct specified here http://www.howastatechamps.info/b52a7193-7fbd-437e-8fef-c53faac04acb.html

* All information provided will remain confidential and not be used for advertising purposes or given to outside parties