SCOR Membership Form
Any problems please contact the Membership Secretary: Gary Port 07775856453
* Required
Warning
Declaration
*
I declare that I shall not drive in any part of a competition which takes place on the public highway unless I hold a valid motor vehicle RTA licence for cars (other than provisional). I am acquainted with and agree to be bound by the General Regulations of the MSA.
Required
Membership type
*
2020 Membership Holder - 2021 FREE
2021 New Member - £15
Name
*
Your answer
1 st Line Address
Your answer
2nd Line Address
Your answer
Town
Your answer
County
Your answer
Postcode
Your answer
Date
MM
/
DD
/
YYYY
Email
Your answer
Phone Number
Your answer
Payment Method
*
Bank Transfer
PayPal
Cash at first meeting
CHEQUE (Payable to SCOR Ltd.) send to: 55 New House Lane, Canterbury, Kent. CT4 7BH
Enter name as Signature
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
