MEMBERSHIP APPLICATION / RENEWAL FORM 2013
NAME:
ADDRESS:
POSTCODE (must complete)
TELEPHONE No. (Landline)
Mobile No.
EMAIL
PREFERRED METHOD OF CONTACT
Main interests please tick where appropriate
Racing
Sprint
Show/Parade
Other (please specify)
Please ensure that you enclose a Stamped Addressed Envelope with your payment to aid return of membership details
Please return to :
B.jackson,
14 hopton cresent,
wednesfield,
wolverhampton,
west midlands
WV11 3JQ
NAME:
ADDRESS:
POSTCODE (must complete)
TELEPHONE No. (Landline)
Mobile No.
PREFERRED METHOD OF CONTACT
Main interests please tick where appropriate
Racing
Sprint
Show/Parade
Other (please specify)
Please ensure that you enclose a Stamped Addressed Envelope with your payment to aid return of membership details
Please return to :
B.jackson,
14 hopton cresent,
wednesfield,
wolverhampton,
west midlands
WV11 3JQ