VELOCITY INDIA
Super Bikes Club LLP
Membership Application
Join Velocity India Super Bikes Club
Full Name
Email
Phone
Password
Membership Tier
Silver — 60 days/yr
Gold — 90 days/yr
Diamond — 120 days/yr
Platinum — 240 days/yr
Blood Group
Emergency Contact
Emergency Phone
Chapter (region)
Choose later
National HQ — GOA
Referral code (optional)
I am joining with Legacy Club Member (LCM) fees — 10 bonus points after training
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