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Member Registration
Michiana Raceway Park Memberships
IPlease fill out the following form if you would like to become a Michiana Raceway Park member.  Payments for membership will be accepted either over the phone or at the track.
 
Thanks for racing with us!
   
First Name required field
Last Name required field
   
Additional Member Names (1 per line)
   
Address required field
City required field
State required field
Zip required field
   
Phone required field
Email required field
Confirm Email required field
   
   
Type Of Membership
Please select the type of membership you would like to purchase:
 
Single Membership ($65) Single +1 Membership ($85) Family Membership ($100) required field
   
   

Membership Payment
I agree to purcase the above membership and will make payment at the track

Yes required field
 

 {TIMESTAMP value}{ipaddress value}

required field = Required
   
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