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Membership Form
Member Number
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Renewing members only
Personal Info
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Username
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Password
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Please enter at least 6 characters.
    Strength: Very Weak
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    First Name
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    Last Name
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    ID Number
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    Email Address
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    Mobile Number
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    Gender
    MaleFemale
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    *
    Street Address
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    For shipping your Membership Pack
    Medical Info
    Medical Aid Name
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    Medical Aid Number
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    Medical Conditions
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    Any medical condition, special medication, or allergy we should know about?
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    Blood Group
    Select OptionO+O-A+A-B+B-AB+AB-
    Please select atleast one option.
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    ICE (In Case of Emergency) Info
    *
    ICE Name
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    ICE Relationship
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    ICE Mobile Number
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    ICE Work Number
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    ICE Home Number
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    Uploads
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    Copy of ID
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    File size limit of 1MB
    Copy of Motorcycle License
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    Required for Riders (Learners or Full License)
    Submit