Membership Registration Submit your application for membership to the Midnight Racing ClubName First Middle Initial Last Date of Birth DD slash MM slash YYYY Address Home PhoneMobile PhoneEmail Address Name of club(s) you are a member of I hereby apply for membership of the Midnight Racing Club (MRC) and submit this application with the appropriate fee. I understand that if I participate/complete in any activity/meetings conducted by MRC, my results and photos may appear on the club's website, social media pages and publications. Your annual subscription fee of $50.00 is due on January 1st of each year. There is also a monthly subscription amount of $20.00. Declaration: I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.Signature