Membership Form - 2023
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Contact Number
*
Mobile/Landline
Email
*
example@example.com
Date of Birth
*
Do you compete in any of the following?
Enduros
Hare & Hound
Motocross
Trials
Which class will you compete in this year?
Expert
Over 40
Over 50
Clubman
Clubman B
Sportsman
Would you like to help with the setting up and running of club events?
Yes
No
Do you require a competition Licence?
Yes
No
I wish to apply for:
*
Adult Membership (£15)
Youth Membership - under 16 years (£10)
Payment
*
prev
next
( X )
Adult Membership 2023
£
15.00
Youth Membership 2023
£
10.00
Total
£
0.00
Submit
Should be Empty: