walesandwestenduroclub

Membership Form

Membership for 2020 open on 1st dec 2019

WALES AND WEST mem form 2020.pdf
Adobe Acrobat document [12.6 KB]

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MEMBERSHIPFORM 2020

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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

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

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PAYPAL PAYMENT

Membership fee £10 per year; please make cheque payable to Walesandwestenduroclub

and post to Wales and West Enduro Club

31 LAKESIDE AVENUE

LYDNEY

GLOS

GL15 5PY

or click through to paypal payment

please note all corrospondance will be by email, phone or text.