SCCoN Membership Application

Sporting Car Club of Norfolk
MEMBERSHIP APPLICATION
Membership Type*

SingleJoint / Family
Application Type*

NewRenewal
APPLICANT INFORMATION
Title
1st Name*
Family Name*
Mobile*
Home*
Other
Address*
City*
County
Post Code*
Email*
example@example.com
18+*

I confirm am 18 years or over
I give permission for SCCON to contact me by
Phone*

YesNo
Email*

YesNo
Post*

YesNo
JOINT / FAMILY APPLICANT INFORMATION
Title
1st Name
Family Name
Mobile
Other
Email
example@example.com
18+

YesNo
Date of Birth*

MonthDayYear
I give permission for SCCON to contact me by
Phone

YesNo
Email

YesNo
Post

YesNo
JOINT / FAMILY APPLICANT INFORMATION
Title
1st Name
Family Name
Mobile
Other
Email
example@example.com
18+

YesNo
Date of Birth*

MonthDayYear
I give permission for SCCON to contact me by
Phone

YesNo
Email

YesNo
Post

YesNo
SOCIAL MEDIA POLICY
Events in which SCCON members participate may be reported (by written and/or photographic means) in the club’s newsletter, on the club’s web-site, on Facebook and/or other forms of social media, and/or Motorsport UK media sites. By making a standard application for family membership of SCCON, the parent/guardian of any person under 18 years of age, consents to such reporting of that young person’s participation in events run by SCCON or entered by them as a member of SCCON.

If such consent cannot be given, please contact SCCON at info@sccon.co.uk
SIGNATURE
Signature*
Date

DayMonthYear
PAYMENT
Payment Type*

BACSCheque

Bank Transfer (Use reference 'MEMB ' followed by the start of your surname)
Sort Code	Account	Name
09-01-29	13111919	The Sporting Car Club of Norfolk Limited

Please make cheques payable to SCCON Ltd and posted to
SCCON c/o,	29 Gaynor Close, Wymondham, Norfolk, NR18 0EA
Email	membership@sccon.co.uk	Phone	01508 531 270

SCCON keeps all membership records stored on a computer for use by the club only

The SCCON data protection policy is available to download from the membership section on the SCCON website

Sporting Car Club of Norfolk