BEDWORTH
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MEMBERSHIP APPLICATION FORM 2008 |
Name(If Family membership, list all names with Date of Births for under 18s) |
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Date of Birth
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Address
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Telephone Number |
Home |
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Mobile |
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Email address |
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Tick here if you do not wish to receive news about the club or updates to the website by email. |
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Do you require BRCA membership?
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Yes No NB: All Bedworth RCCC members should have BRCA membership |
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Frequency crystals (minimum of 3) |
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Personal Transponder Number |
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Type of membership
required (Fees include £12 BRCA membership) |
Senior |
Junior (under 18)
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Family (1 Senior + 2 juniors) |
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If renewing your membership, please complete the following: |
Existing Club No: |
BRCA Number: |
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Declaration:
I
understand that to receive club member benefits, I will be expected to help at
all Bedworth race meetings I attend. This may include helping with scrutineering,
looking after transponders, putting the track markers out, or doing whatever is
required of me by the committee.
Track Maintenance Days
As a club member, I am expected to attend at least one track maintenance
day during the year to help with track repairs and improvements.
I understand that if I fail to fulfil this part of being a Bedworth club
member, my membership may be revoked without refund.
I also agree to abide by all club rules, and understand that when racing at
other tracks, I represent Bedworth RCCC. Anything I do to bring the sport of
model car racing or Bedworth RCCC into disrepute will make me answerable to the
committee.
Member Signature:
Date:
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Committee Signature:
Completed
membership forms, along with appropriate fee can be handed in at Race Control or
sent to Bob Burr, 9 Fern Grove, Bedworth, CV12 0GA. Please make cheques payable to Bedworth RCCC.