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)
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