Dunfermline Car Club Membership Application Form 2019
Dunfermline Car Club - A Company Limited by Guarantee
Personal Details
I am aged 16 or over and would like to become a member of Dunfermline Car Club Ltd. I will abide by the rules of the club. Membership runs from the date of application to 31 December 2019
Surname *
Your answer
First Name *
Your answer
Address 1 *
Your answer
Address 2
Your answer
Town *
Your answer
PostCode *
Your answer
Email *
Your answer
Tel No
Your answer
Mobile No
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Occupation *
Your answer
Details
Please tick all that apply
Area of Involvement in Motorsport
Please indicate below areas of involvement and interest. Help and assistance of any kind is always welcome
Competitor
Official/Marshal
Please supply Grade and Licence No
Your answer
Declaration
Acceptance - Full
I am aged 16 or over and wish to be elected a full member of Dunfermline Car Club Ltd and if elected, I agree to abide by the rules of the club
Acceptance - Marshal
I wish to be elected a marshal member of Dunfermline Car Club Ltd and if elected, I agree to abide by the rules of the club. I understand that I do not have voting rights and will not receive a membership card
Membership Fee *
Please pay the membership of £10 by Bank Transfer to Dunfermline CC Sort Code 83 19 01 Account No:00140673 or by post to Bruce Edwards, 2 Mapledene Road, Scone, Perth PH2 6NX. Cheques to be made payable to Dunfermline CC
Sending Info *
I agree to the Dunfermline Car Club sending me information relating to my membership, motorsport events, a newsletter and any other relevant information by email
Required
GDPR *
GDPR / Data Protection: The information supplied on this form is used to administer your Club Membership. We will share some of your information with service providers, eg to print programmes and results. We will also share your information with Motorsports UK as required by the General Regulations and your information may be released to other clubs for the purpose of issuing bulletins and regulations.You can change your mind at any time by just letting us know. Please see our PRIVACY POLICY on our website – www.dunfermlinecarclub.co.uk
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service