GCKI Online One Month Membership Application

The One Month Membership is $100 for 31 days. It starts from the date of your application/purchase and ends after 31 days.
  • The one month GCKI membership does not have voting rights.
  • It includes associates (spouse and minors living at the same address).
  • The one month membership can be applied towards an annual membership if it is upgraded during the one month term.
  • You will not earn club championship points, but points can be retroactive if membership is upgraded to a full annual membership.
  • One month members pay the non-member club race entry fee unless the membership is upgraded to an annual membership or you are a member of a reciprocal track.
  • After you pay you will receive a confirmation email. Print the confirmation email and take it with you to the track as proof of membership
Master Member First Name(*)
Enter the GCKI Master Member name

Master Member Last Name(*)
Enter your last name

Master Member Birthdate(*)
Enter the GCKI Master Member birthdate

Street Address(*)
Enter your street address

City(*)
Enter your city

State(*)
Enter your State

Zip Code(*)
Enter your zip code

Gender(*)
Select a gender

Home Phone(*)
Enter your home phone number in this format 123-456-7890

Cell Phone
Enter your cellphone number in this format 123-456-7890

Business Phone
Enter your business phone number in this format 123-456-7890

Email Address(*)
Enter a valid email address

Race Class
Enter your race class


ASSOCIATE MEMBER INFORMATION:
Spouses and/or minor children living at the same address.
Associate Member 1 Name
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Associate Member 1 Birthdate
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Associate Member 1 Class
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Associate Member 2 Name
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Associate Member 2 Birthdate
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Associate Member 2 Class
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Associate Member 3 Name
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Associate Member 3 Birthdate
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Associate Member 3 Class
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Associate Member 4 Name
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Associate Member 4 Birthdate
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Associate Member 4 Class
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How did you hear about GCKI?(*)

Please let us know how you heard about GCKI

Enter Member name or where you heard about GCKI if you selected "Other" above.
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Read Agreement of Release
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I Agree to Above Release(*)
Read the Agreement of Release above and scroll through to the bottom of the window.

Total
$0.00

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GCKI Uses PayPal's secure credit card processing pages. You do not need to have a Paypal account to pay using your credit card.
Click the Pay Now button above and you will be transferred to PayPal. Select "Don't have a PayPal Account?" text link and enter
your credit card information.