walesandwestenduroclub

Membership Form

Membership for 2022

Membership Form 2022
Membership Form 2022
WALES AND WEST mem form (1).pdf
Adobe Acrobat document [32.7 KB]

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WALES AND WEST ENDURO MEMBERSHIP FORM 2022

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NAME *

ADDRESS *

POSTCODE *

E-mail address: *

D.O.B. *

BIKE *

MODEL *

CC *

PREFERRED RIDER NUMBER IN CLASS. EXPERT 1 TO 50 SUPERVETS 51 TO 100 VET 101 TO 150 CLUBMAN 2T 151 TO 200 CLUBMAN 4T 201 TO 250 SPORTSMAN 2T 251 TO 350 SPORTSMAN 4T 351 TO 450 LADIES, T/SHOCK, TRAIL, EVO, 451 TO 600 OVER 50S 600 TO 650 YOUTH 650 TO 7

CLASS :- EXPERT , SUPERVET (over 40) over 50) , VET (over 40), CLUBMAN 4T, CLUBMAN 2T, SPORTSMAN 4T, SPORTSMAN 2T, LADIES , TWINSHOCK, TRAIL, EVO , YOUTH upto 150cc 2T, 250cc 4T, 15-17yr old . *

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TRANSPONDER NUMBER if applicable

PARENT'S NAME IF UNDER 18

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membership 2022

12.00 GBP

please add to notes rider who you are paying for !!!