MEMBERSHIP APPLICATION FORM 2008

NAME…………………………………………………………………………………….

ADDRESS………………………………………………………………………………..

……………………………………………………………………………………………

……………………………………………………………………………………………

………………………………………………POST CODE…………………………….

PHONE NUMBER………………………………………………………………………

Preferred Club Racing Number………………………………………………………….

Please state if applicant is over the age of 35 years old. Yes / No
(Please give date of birth if over 35yrs.)

Required Membership for: Quad or Solo. (please delete as necessary)

ANNUAL SUBSCRIPTION FEE’S FOR 2007.

The Annual Subscription from 1st Jan to 31st Dec 2008.

ADULT QUAD AND SOLO RIDERS: £25.00

CLUB OFFICIALS: FREE

DAY MEMBERSHIP: £6.00

I here by declare that I am over the age of sixteen years of age, and here by agree to abide by the rules and regulations of Hampshire Motocross Club.

SIGNED……………………………………............ DATE…………………………….

Please make cheques payable to Hampshire Motocross Club and return to:

Mr J E Sanderson
New House
Fobdown Farm
Fobdown
Old Alresford
Hants Tel: 01962 735083
SO24 9TD Fax 01962 733795