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NEDRA Membership Application

Please fill out the required fields which are marked with a (*). The membership contact will be in touch with you. If you wish to submit your membership application by postal mail, please print out the completed form and send it to:

NEDRA
2430 S.W. Scenic Drive,
Portland, OR 97225
along with a check or money order made payable to NEDRA for your membership fees.

Membership Type:
Name (*):

Mailing Address (*):

Phone Number (*):

Fax Number:

E-mail:



To assist us in enhancing your involvement in the clean sport of Electric Vehicle Drag Racing, please fill out the questions below.

Do you present own/drive an electric vehicle? Yes No
If yes, please provide us with the following information

Vehicle Make, Model and Year:

Voltage:

Battery Type:

Controller Type:

Motor Type:

Other pertinent information about your vehicle:

Any other ideas you may have:


  
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