Affiliated to Association of British Kart Clubs
Competition Secretary
Rita
Chapman, 23 Foxglove Close, Castle Meadow, Buckingham MK18 1FU
Tel:
01280 816512
MEMBERSHIP FEE IS £60 (Cheques payable to Whilton
Mill KC)
Cheque Guarantee Card No.
.Expires
../
Discounts:
A family
membership is available for three or more drivers including a social
membership £140.
A social
membership 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
(2)
A lower Club Championship race entry fee (3) Club Championship
registration
I
hereby apply to become a member of Whilton Mill Kart Club Ltd 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:
.
Home Tel
..:
.
Daytime Tel ..
....
Race
Class:
..
Race No:
OR
.
Age(if under 18)
.
Date of Birth (if under 18)
.
E Mail
Address
..
Whilton
Mill Kart Club, 23 Foxglove Close, Castle Meadow, Buckingham MK18 FU
(Please
enclose a large SAE to the value 90p)
You
must be in possession of a Club Membership Card and an MSA Competition
Licence in order to take part in a race meeting.
Sign:
Counter Signed Drivers under 18 years only
.
Address of Counter Signatory: