Club Membership Application

  • Club Membership Application

    Applications & Renewals for the 2026 Season

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  • Data Privacy & Protection

  • The data collected in this form is used primarily to process your membership application, and we will use it to contact you about your application and membership if we need to.

    If you opt in below, we will also use your details to contact you about other events, news and offers that we think may interest you.

    Whatever you opt in to, we will never share your information with any other organisations and any debit/credit card details you provide are not stored.

    View our Privacy Policy for further information.

  • Conditions of Membership

  • I wish to be elected a member of Longton & District Motor Club Ltd. and, if elected, I agree to be bound by the rules of the Club (available on request). Upon ceasing to be a member, I agree to surrender all Club property in my possession.

    The membership term ends on 31st December 2026.

  • Please select one of the membership options below*

    prevnext( X )
    Adult Membership. Standard membership for one adult aged 18+
    Adult Membership

    Standard membership for one adult aged 18+

    £20.00£20.00
      
    Junior Membership. Standard membership for one junior aged under 18.
    Junior Membership

    Standard membership for one junior aged under 18.

    £12.50£12.50
      
    Dual Membership (AA). Standard membership for two Adults. Both must be living at the same address.
    Dual Membership (AA)

    Standard membership for two Adults. Both must be living at the same address.

    £23.00£23.00
      
    Dual Membership (AJ). Standard membership for one Adult and one Junior. Both must be living at the same address.
    Dual Membership (AJ)

    Standard membership for one Adult and one Junior. Both must be living at the same address.

    £23.00£23.00
      
    Family Membership (AAJ). Standard membership for two Adults and one Junior. All members must be living at the same address.
    Family Membership (AAJ)

    Standard membership for two Adults and one Junior. All members must be living at the same address.

    £25.00£25.00
      
    Family Membership (AJJ). Standard membership for one Adult and two Juniors. All members must be living at the same address.
    Family Membership (AJJ)

    Standard membership for one Adult and two Juniors. All members must be living at the same address.

    £25.00£25.00
      
    Hon Membership Product Image
    Hon Membership
    Free£ Free
      
    Total
    £0.00£0.00
    Payment Methods

  • Main Member Details

  • Are you an existing/previous member?*
  • Date of Birth*
     / /

  •

  • Please provide at least one contact phone number below.

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  • Supplementary Member Details

    • Adult 2 
    • Adult 2 Date of Birth*
       / /

    •
    • Junior 1 
    • Junior 1 Date of Birth*
       / /

    •
    • Junior 2 
    • Junior 2 Date of Birth*
       / /

    •

  • And finally...

  • As a member, you are invited to supplement your membership with the following items;

    • Car window stickers - £1.50 each
    • Lapel badges - £2.50 each
    • Cloth badges - £4.00 each

    Unfortunately, we can't currently sell these at the same time as your Membership Subscription, but click the link to browse our shop in a new window.

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