MSA RACE NUMBER BOOKING FORM - CROSS COUNTRY MOTORCYCLES AND ENDURO

Please note that this is an automated form which will be sent directly to the relevant co-ordinator. Kindly refrain from calling or emailing for confirmation, a response will be emailed regarding your request.

(Incomplete information will result in no race number reservation for the 2019 season)

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* 1. FIRST NAME:

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* 2. SURNAME:

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* 3. EMAIL:

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* 4. REGION:

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* 5. ID NUMBER:

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* 6. 2019 MSA LICENCE NUMBER: (If you are not be in possession of a 2019 licence do not complete this section. Note: Should you not obtain your 2019 licence by 31 January 2019, your race number may be forfeited.)

Please select a class below, and list 3 possible numbers to check availability. Numbers 1 - 20 for Cross Country mcycles are not available for booking as these are reserved for 2018 Championship winners. Numbers E1 - E20 for Enduro are not available for booking as these are reserved for 2018 Championship winners.

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* 7. OR3 (Cross Country Mcycles) : Two stroke motorcycles with an engine capacity not exceeding 201cc and four stroke motorcycles with an engine capacity not exceeding 251cc. Open to competitors from their 16th birthday and older. Refer SSR 325 e) and f).

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* 8. OR2 (Cross Country Mcycles): Two stroke motorcycles with an engine capacity greater than 201 cc but not exceeding 251cc and four stroke motorcycles with an engine capacity greater than 251 cc but not exceeding 401cc. Open to competitors from their 18th birthday and older.

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* 9. OR1 (Cross Country Mcycles): Two stroke motorcycles with an engine capacity in excess of 251cc and four stroke motorcycles with an engine capacity in excess of 401cc. Open to competitors from the year of their 18th birthday and older. Refer SSR 325 e) and f).

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* 10. Senior (Cross Country Mcycles / Enduro): Open to competitors from the year of their 36th birthday and older. Any capacity motorcycle may be used.

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* 11. Master (Cross Country Mcycles / Enduro): Open to competitors from the year of their 46th birthday and older. Any capacity motorcycle may be used.

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* 12. High School (Cross Country Mcycles / Enduro): Open to competitors from the year of their 15th birthday – 18th birthday. Restricted to motorcycles with an engine capacity not exceeding 125cc 2-stroke.

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* 13. Silver Interprovincial Challenge (Cross Country / Enduro): Any capacity motorcycle. Open to competitors from the year of their 16th birthday and older. Refer SSR 325 e) and f).

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* 14. Ladies Interprovincial Challenge (Cross Country Mcycle): Any capacity motorcycle. Open to competitors from the year of their 16th birthday and older. Refer SSR 325 e) and f).

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* 15. WOW Class (Cross Country Mcycles / Enduro): Engine capacity and age restriction as per Class entered.

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* 16. E1 (Enduro): Open to riders from their 16th birthday and older (Two-stroke: 125 to 200cc and Four-stroke: 150 to 250cc)

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* 17. E2 (Enduro): Open to riders from their 18th birthday and older (Two-stroke: over 201cc and Four-stroke: over 251cc)

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* 18. Club classes (Cross Country Mcycle / Enduro) - C prefix:

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* 19. Other:

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List your class here: