ECMC Membership Form

Eastern Counties

Motor Club

Membership

Application/Renewal

Select application type

I hereby apply to become a new member of Eastern Counties Motor Club Limited and if elected I undertake to abide by and be bound by the Memorandum and Articles of Association and Bylaws of the club.I am applying to renew my ECMC Membership.

Name*

PrefixFirst NameLast Name

ECMC Membership Number

If you are renewing your membership and your address and phone numbes have changed then please complete the relevant fields below with the new details, else they may be left blank.

Address*

Street Address

Street Address Line 2

Town/CityCounty

Post Code

Phone

Mobile*

E-mail*

Date of birth

required for under 18's only

Minimum Ages:

Road Rally Navigator: 12, Stage Rally Navigator: 16, Sporting Trial Driver: 16, Production Car Trial Driver: 15, Production Car Trial Passenger: 12, Production Car Autotest Driver: 12, Autotest Driver: 16, Circuit Racing: 16, Minicross: 14; Autocross Driver: 16, Sprint Driver 16

Anything else requires a full RTA license

Other motor club memberships

Car(s) owned

What types of events are you interested in?

Membership Type*

To be eligible for Family Membership, all family members must live at the same address. Please complete this form for other family members who require a membership card, selecting the type as "Additional family member"

Payment Method*

BACS - Transfer to Account Name:"Eastern Counties Motorsport Club", Account Type: Business, Sort Code: 23-05-80, Account Number: 51481356. Please use "ECMC [your name]" as the payment reference.Cheque - payable to "Eastern Counties Motorsport Club"N/A - Additional Family membership

If paying by cheque, please send it with a covering note to:

ECMC Membership Secretary,
46 Pine View Road,
Ipswich,
Suffolk,
IP1 4HR

Data Protection Act: Members details are recorded electronically for club administration and mailing purposes, no other use will be made of this data.

A company limited by guarantee. Certificate of incorporation: England, Number 15011277
Founded 1950, Motor Sport UK, Affiliation Number 48.
www.ecmc.co.uk