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RHAYADER & DISTRICT MOTORCYCLE & LIGHT CAR CLUB Ltd.
Membership Application Form
(2008 Mid Wales Centre ACU)

I desire to become a Member of the Company and request you to enter my name in the register of Members accordingly to the memoranda association.

Please complete all parts using BLOCK CAPITALS:

FULL NAME ………………………………………………………………

ADDRESS………………………………………………………………………………

…………………………………………………………………………………………..

…………………………………………….. POST CODE…………………………….

TEL No…………………………………….DATE OF BIRTH………………………..

Interest: Motocross/Enduro/Hare ‘n Hounds/Trials/

CarTrials/Marshalling/Social (delete as appropriate)

Send to Membership Secretary:

Andrew James,
Dan-y-Coed, East Street,
Rhayader, Powys. LD6 5DY
  

I enclose £10.00 annual membership fee

Please make Cheques payable to – Rhayader M.C. & L.C.C. Ltd.