MID-SUSSEX BRITISH MOTORCYCLE CLUB

Application Form for Membership

I wish to apply for membership to the Mid Sussex British Motorcycle Club

Name            ………………………………………….................................................  

Address           ………………………………………….

                       ………………………………………….

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

Telephone Number  ………………………………………

Email address         ………………………………………..

Declaration    
I the undersigned declare that :
   
         1. The vehicle that I use on any event organized or supported by the Club will be roadworthy
            and also comply fully with the relevant Road Traffic Act regulations and will have a current MOT as
             appropriate and be insured at least for Third Party Insurance Cover.

         2. That I will not hold the Club or Committee responsible for any incident or accident
              however caused on any event run or supported by the Club.
         
        3.  I have received, read and understood the Club Constitution and agree to abide by the Club
             Rules incorporated within the Constitution. 

  Signed         ………………………………………

  Dated         ………………………………………..

  I enclose my subscription of £ ……………………………………Full membership £10.00    

Please make cheques payable to the Mid Sussex British Motorcycle Club. 
Return the completed form together with your payment to the Membership Secretary (address below) enclosing a stamped self addressed envelope for your receipt and Membership Card.  

MR RICHARD DELLER

73 FIRLE ROAD

PEACEHAVEN

EAST SUSSEX

BN10 7QH

Full membership: allows members full access to all aspects of Club membership including the Club Magazine.
 
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