2002 Membership Dues: $25.00 ($30.00 Family) 

Name:
Mailing Address:
City & Province:
Postal Code: 
Day Time Phone# 
Evening Phone# 
   *at least one phone # required in order to inform members of monthly prizes 
e-mail
         _ e-mail News Letters
         _ snail-mail News Letters

Payment Type:
 Check or Money Order
   
   *Checks made payable to "Maudsley Motorsports"

[email protected]