Accrington Motor Sport Club Membership Application Form

Accrington Motor Sport Club Membership Application Form

I/We wish to apply for membership of Accrington Motor Sport Club until 31st December 2025.
Name of applicant*

First NameLast Name
Please tick all that apply*

I am 18 or overI am in full time education
Persons aged 17 and under shall not be eligible for single membership but may be eligible for Family Membership.

Please ask your parent or guardian to apply for family membership.

Thank you.
Name of partner (joint application)

First NameLast Name
Names of any children (under 18)

First NameLast Name
Names of any children (under 18)

First NameLast Name
Names of any children (under 18)

First NameLast Name
Address*

Street Address

Street Address Line 2

TownCounty

Post Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
DATA PROTECTION ACT

In accordance with latest GDPR we will not pass on any of your personal details to a third party. For admininistrative purposes the information you provide will be stored on a computer database; by submitting this form you are consenting to us holding this information.

Subscriptions: SINGLE £5.00 JOINT £10.00 (includes all children 17 & under).

You can pay by BACS transfer using sort code 30-90-87 and account number 02435410. The account name is: Accrington Motor Sport Club.

Thank you for supporting Accrington Motor Sport Club.
Additional Information
Please write any notes or comments for the membership secretary here.
Should be Empty: