HOPRA
Membership
Membership
| ANNUAL MEMBERSHIP FEE $10.00 (each additional immediate family membership $5.00) Full Membership package includes: HOPRA National Rule Book, HOPRA Membership Card (good for discounts at many state, regional and national races), 2 HOPRA logo stickers and any National HOPRA mailings. (additional family memberships do not include rule book). PLEASE PRINT |
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NAME: ______________________________________________________________________
ADDRESS: ___________________________________________________________________
CITY: ____________________________ STATE: ______________ ZIP : _________________
PHONE: ______________________________EMAIL: _________________________________
STATE/REGIONAL GROUP: _____________________________________________________
LOCAL RACING GROUP: _______________________________________________________
NEW MEMBERSHIP: _______ FAMILY MEMBERSHIP: ______
RENEWAL: ______ MEMBERSHIP #: ____________________
ADDRESS: ___________________________________________________________________
CITY: ____________________________ STATE: ______________ ZIP : _________________
PHONE: ______________________________EMAIL: _________________________________
STATE/REGIONAL GROUP: _____________________________________________________
LOCAL RACING GROUP: _______________________________________________________
NEW MEMBERSHIP: _______ FAMILY MEMBERSHIP: ______
RENEWAL: ______ MEMBERSHIP #: ____________________
| All information is for HOPRA use only All proceeds from memberships go to support Annual HOPRA National Championships |
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(FOR HOPRA USE ONLY)
PAID: ______ RECV. BY: ________________________ EXP. DATE: _________________
MEMBERSHIP PKG. SENT: ______ MEMBERSHIP #: ___________
DRIVER CLASSIFICATION: AMATEUR: ______ PRO: ______
PAID: ______ RECV. BY: ________________________ EXP. DATE: _________________
MEMBERSHIP PKG. SENT: ______ MEMBERSHIP #: ___________
DRIVER CLASSIFICATION: AMATEUR: ______ PRO: ______
| MAIL CHECK OR MONEY ORDER PAYABLE TO: PAUL REEVE 1080 Perkins Dr. Wooster, OH 44691 (PRINT OUT FORM) |