Details for Membership

First Name*

Last Name*

Address*

Address2

City*

Postcode

Phone

Email*

Home Club (Membership of Associated club, required)*

If not a member of one of the listed Clubs enter your Home club.

Membership Type*

**Note **Junior Membership is Under 18 on January 1st of the membership year

Associated Member

An Associated member is a non-racing member who can cast a Vote at the Association AGM

Guardian Name *

Guardian before completing and submitting this form, read the T+C's below,

Guardian Contact Number *

Guardian before completing and submitting this form, read the T+C's below,

Verification code*

I accept