2008 Membership Application

MEMBERSHIP FEE IS £60 (Cheques payable to Whilton Mill KC)

Cheque Guarantee Card No. ……………………………….Expires…../……

Discounts:

A reduced family membership is available for three or more drivers including a social membership £140.
A social membership/car pass is available which includes trackside parking for each race meeting £10
Membership of the Club entitles you to:-
(1) Use of the circuit on Club test days at a reduced rate when showing your membership card
(2) A lower Club Championship race entry fee
(3) Club Championship registration

I hereby apply to become a member of Whilton Mill Kart Club and agree to abide by the Club Rules and Regulations. I understand that Membership details are held on Computer files, and that such information will be subject to the Data Protection Act.

MEMBERSHIP DATA

First Name………………………………………..Last Name……………………………………………

Address:…………………………………………………………………………………………………

…………………………………………………………Post Code………………………….…………

Daytime Tel ..…………………………… E Mail ....................................................................................

Fax No:…………………………………... Evening Tel No:……………………………….

Class:…………………………………….. Race No:……………………………………….

Occupation:……………………………… Company:………………………………………

Age (if under 18)…………………………. Date of Birth (if under 18)…………………….

Membership Applications to be sent to:-
Whilton Mill Kart Club, 23 Foxglove Close, Castle Meadow, Buckingham MK18 1FU
(Please enclose a large SAE the value 75p)

You must be in possession of a Club Membership Card and an MSA Competition Licence in order to take part in a race meeting.

Signed: .........................................................................

Counter Signed (under 18 years only)..........................................................

Address of Counter Signatory:

…………………………………………………………………………………………………………

This information will be held on computer but will only be used on behalf of Whilton Mill Kart Club