West Suffolk Motorsport Club Membership Application Form CHECK PAYMENT

West Suffolk Motorsport Club Membership Application Form

When paying by BACS/Cheque the digital card will be sent when receipt of the money is confirmed. This will be slower than if you pay by card or Paypal. Physical cards are no longer issued. Any enquiries regarding membership should be made to: entries@wsmc.co.uk
First name*
Last name*
No TBC
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
Emergency Contact Name*
Emergency Contact Phone Number*
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.
YesNo
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) A copy of the West Suffolk Motor Club Ltd rules can be found here
I Agree
Membership costs £15.00 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.
BACSChequeCash
BACS Payment of £15.00 to:
Sort Code 30-64-22 Account No: 25803368
Account Name: West Suffolk Motor Club Ltd

Cheque for £15.00 made payable to: “WEST SUFFOLK MOTOR CLUB LTD”. and send to:

Ben Cutting

Plough House

Tye Green

Glemsford

Sudbury

Suffolk

CO10 7RH
Please enter the date you would like your membership to start (you can put a date in the future if your current membership is still valid)
Date*

DayMonthYear
Date
Membership Expiry Date

DayMonthYear
Date
Expiry Month
Mem2
Mem3
Mem4
Mem5
Mem6
Mem7
LN
Payment for this membership
NoYes
MemNo1
MemNo2
MemNo3
MemNo4
MemNo5
MemNo6
MemNo7
WhichEmail
Should be Empty: