here - Brighton and Hove Motor Club

APPLICATION FORM FOR MEMBERSHIP OF
The Brighton & Hove Motor Club Limited
RETURN COMPLETED FORM TO :
Tony Watts: For Brighton & Hove Motor Club Ltd.
22 Fry Crescent, Burgess Hill, West Sussex RH15 8TP
I hereby apply for membership of the BRIGHTON & HOVE MOTOR CLUB LIMITED and in so doing
agree to be bound by the Club’s Memorandum and Articles of Association and Rules.
First Names:
Surname:
Mr/Mrs/Ms/Miss
1st Line of Address
2nd Line of Address
City/Town
Phone No – Landline
Phone No – Mobile
County
Post Code
Email Address
.
Signed:
MSA Licence No.
Date:
Subscription to be paid: i) for: Full Membership = £20 p.a. or ii) Joint Membership = £20 p.a.
plus £5 p.a. per joint member. Note: If this is a ‘Joint Membership’ application (For Spouses,
Partners, and Relatives residing at same address) please enter their full names:
Your membership subscription method of payment = Cash / Cheque ?
The annual subscription provides valid membership for the period Ja nu a ry 1st to December 31st
If you wish to receive a copy of the Articles of Association please enclose an envelope of at least
23 x 16cm dimensions with minimum 60p stamp affixed with your application for membership fo rm .
www.brightonandhovemotorclub.co.uk
FOR CLUB USE ONLY
Application recieved by:
Membership No.:
Committee approved on:
Acceptance confirmed: