Membership Application Form

Cleeve Motorsport Club Membership Application

Membership runs from 1st May to 30th April.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityCounty

PostcodeCountry
E-mail
Telephone Home
Format: 000000000000.
Telephone Mobile
Format: 000000000000.
Proposer (New members)
Seconder (New Members)
(If new Member please add the names of your Proposer and Seconder)
Membership
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New Membership£10.00

Renewal£10.00
Payment Method
Interests

Other
Signature
Date
Enter the message as it's shown
Payment details
Payment by Bank transfer: Bank: Natwest Sort:60-05-16 Account: 19041616 Use your initials and surname as reference.To Pay by Cheque or Cash please download and fill in the pdf form from the membership page. Paypal Payments to: membership@cleeve-motorsport-club.co.uk
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Cleeve Motorsport Club Membership Application