West Suffolk Motorsport Club Membership Application Form

West Suffolk Motorsport Club Membership Application Form
First name *
Last name *
Other family members can include partner/spouse and any children under 18
2 First Name
2 Last Name
3 First Name
3 Last Name
4 First Name
4 Last Name
5 First Name
5 Last Name
6 First Name
6 Last Name
7 First Name
7 Last Name
Contact Details
Street Address 1 *
Street Address 2 *
Town *
County *
Post Code *
Mobile Phone Number *
Home Phone Number
E-mail *
Marshals are always needed in order for events to run, no marshals no events. If you could assist at just one event per year it would really help. Different types of motorsport happen year round, why not come along to an event you wouldn't normally attend.
Could we add you to our marshals list? *

Yes No
I agree to be bound by the rules of West Suffolk Motor Club Ltd & Anglian Motorsport Club Ltd. I agree to WSMC Ltd retaining my details and contacting me regarding motorsport events that the club is involved with. In joining WSMC I also confirm my membership of Anglian Motor Sports Club Ltd. (AMSC will not receive any of the members details)
WSMC Rules *

I Agree
Membership costs £17.00 for one year and covers the person applying, their spouse and any children aged 17 and under at time of applying. Anyone aged 18 and over on application date will need their own membership.
Payment By *

Card/Paypal BACS Cheque
BACS Payment of £17.00 to:
Sort Code 30-64-22 Account No: 25803368
Account Name: West Suffolk Motor Club Ltd

Cheque for £17.00 made payable to: “WEST SUFFOLK MOTOR CLUB LTD”. and send to John Boot 3 Mouse Lane Rougham Bury St Edmunds Suffolk IP30 9JB
Pay via PayPal or you can pay with your credit card if you don’t have a PayPal account.
Fee
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WSMC Membership £ 17.00 GBP

Total £ 0.00 GBP
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