Dunfermline Car Club Membership Application Form 2018
Dunfermline Car Club - A Company Limited by Guarantee
Personal Details
First Name *
Your answer
Surname *
Your answer
Contact Tel No *
Your answer
Email *
Your answer
Occupation *
Your answer
Details
Please tick all that apply
Address 1 *
Your answer
Address 2
Your answer
Town *
Your answer
PostCode *
Your answer
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
Other
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
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