walesandwestenduroclub

Membership Form

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walesandwestenduroclub membership form 2019

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bike *

model *

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d.o.b. *

tick this box to sign and confirm all club t&c's

please state which class. Expert, Supervet (over 40), Vet (over40), Over 50's , Clubman 4T, Clubman 2T, Sportsman 4T, Sportsman 2T, Ladies, Twinshock Trail Evo, Youth 15-17yr up to 150cc. minimum age for race event is 15yrs *

preferred riding number... Expert 1-50, Supervets 51-100, Vet 101-150, Clubman 2T 151-200, Clubman 4T 201-250, Sportman 2T 251-350, Sportsman 4T 351-450, Ladies, Twinshock and Evo 451-600

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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