Issuu on Google+

Scottish Motor Racing Club Ltd BIRCH HOUSE, DUNCRIEVIE, By GLENFARG, PERTHSHIRE, PH2 9PD.

For Office Use Memb.No…………

MEMBERSHIP APPLICATION 2012 APPLICATION FORM FOR MEMBERSHIP OF SMRC PLEASE COMPLETE IN BLOCK CAPITALS THROUGHOUT AND RETURN TO THE ADDRESS ABOVE WITH YOUR MEMBERSHIP FEE, CHEQUES PAYABLE TO SMRC. Mr/Mrs/Miss. (delete as appropriate) Forename(s): .................................................................................... Surname: ......................................................................................... Address

.......................................................

Occupation: ......................................

.......................................................

Tel Nos: Home: .....................................,,,,,,,,

........................................................ ......................................................... Post Code

.......................................................

Work: .............................................

Mobile………………………………............................. E-Mail Address…………………………………………………….................................. (Please fill in - we are compiling a data base for quicker communication.) I hereby apply for membership of the Scottish Motor Racing Club Limited for ONE calendar year (1st January to 31st December) and agree to be bound by the Memorandum and Articles of Association thereof for the time being. Date .........../........../..........

Signature,: ........................................................

I wish to be considered as a Marshal: YES / NO (delete as appropriate) IF RACING, PLEASE INDICATE WHICH CLASS (Legends, Minis, Classics, FF etc.) ……………………………………………………………........ My cheque / P.O. is enclosed made up as follows: Annual Subscription - RACING MEMBER (£50) ORDINARY MEMBER (£30)

£ . £ . _____________

_____________


/2012_brochure