BRCA                                                                   Club Affiliated Membership Form

British Radio Car Association        1st January to 31st December 2008

 

Please ensure that your writing is legible

 

 

Club Affiliated Membership Fee              £12      (please send form and payment to your club membership contact)

 

 

Full Name of Club:         ……………………………………………………………………………………………………………………

 

If you are renewing your membership please insert your current licence number             …………………...

 

 

Name    …………………………………………………………….        Telephone Number for purposes related to racing only:

 

Address …………………………………………………………….        …………………………………………………………………………….

 

            …………………………………………………………….        Date of Birth if Under 18 ……………………………..

 

            …………………………………………………………….                    18 – 21           22 – 24           25 – 29

 

            …………………………………………………………….                    30 – 34           35 – 39           40 – 44

 

Postcode           ………………………………………………..                     45 – 49               50+ 

 

 

Please tick your interests:

 

1/10 Electric Circuit                  1/10 IC Circuit                         1/8 Rally Cross            Large Scale      

 

1/10 Off Road                          1/12 Electric Circuit                  1/8 IC Circuit               Bikes               

 

1/10 Trucks                             1/12 Oval                                Oval                            Other               

 

 

Please tick the box if you are you a ‘non-racer’                           (ie mechanic)

 

Please tick the box if you require an EFRA Licence                      (required if you are racing in European events)

 

 

I agree to abide by the BRCA rules and regulations as in the current BRCA Handbook.

 

 

Signed.............................................   Date...............................................

 

The BRCA holds personal data in respect of its members on a computer. In accordance with the Data Protection Act 1984, the Association may use such data for the following purposes:-
a) disclosures to authorised officers of the Association for the purposes of day to day membership administration.
b) the publication from time to time of a membership list for the exclusive use of Members in pursuance of their hobby and not for any trade purposes.

 

 

For further information please contact:

 

The Membership Secretary

Park View

Uffculme

Cullompton

Devon   EX15 3DN

 

Tel           01884 840158

e-mail      membership@brca.org