South Hams Motor Club - Membership Form
On submission of this form you will be able to pay with your debit/credit card.
Please complete the following details.
Name *
Your answer
Address *
Your answer
Postcode *
Your answer
Telephone No. *
Your answer
Email address *
Your answer
Membership type *
Names for HOUSEHOLD membership (if applicable).
Your answer
Membership Status *
If this is a renewal, please give your Membership number(s) (if known):
It will be shown on your SHMC membership card
Your answer
To help us organise the events you enjoy, please indicate your interests below:
Competing
Marshalling
Autosolos
Road Rallies
Stage Rallies
12 Cars
Autocross
Grass Root events
Endurance Rallies
Other aspects of the Club you may want to enjoy
In submitting this application and membership fee I/we agree to abide by the rules of the MSA. Signed - state name *
Your answer
Date *
Your answer
Introduced By (if known): *
Who told you about the Club? Or did you find us on the Internet?
Your answer
The information will be stored on a computer for the distribution of SHMC literature ONLY. Should you not wish for your details to be stored in this way, please state. *
Literature includes "The Chequered Flag" monthly magazine.
When you have pressed SUBMIT, just CLICK the link on the Thank You page to pay!
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