Membership Form

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SOUTHERN TWIN SHOCK SPORTS CLUB *

AFFILIATED TO I.O.P.D.

BRISTOL MOTOR CYCLE CLUB *

AFFILIATED TO THE WESSEX CENTRE OF THE ACU

2004  REGISTRATION/CLUB MEMBERSHIP

NAME……………………………………………………………

ADDRESS……..………………………………………………..

…….…………………………………………………………….

……..……………………………………………………………

                                                 ……………………………….POST CODE…………………..

HOME TEL:..………………………OTHER CONTACT NUMBER…………………….

AGE:………D.O.B:…………….PREFERRED RIDING NUMBER: (If any)…………….

                       Whilst every effort is made to accommodate a preferred number, it cannot be guaranteed.

          CURRENT MACHINE DETAILS. MAKE & MODEL…………………….CAPACITY………………YEAR…………..

                                              BRIEF DETAILS PLEASE, of any previous competition experience, or club involvement                    …………………………………………………………………………………………………………………………

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

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

COMPLETED FORMS with a remittance please, for the correct amount,  £20.00, NEW MEMBERSHIP, or £10.00 RENEWAL MEMBERSHIP

To ;

SOUTHERN T.S.S.C.  Henfield Farm, The Hollows,

BRISTOL BS36 2UU

Please respond as soon as possible so that we can assess the levels of interest, and allow us to formulate the Class/Categories structure before the season starts, Thank you.

 REGISTRATION/MEMBERSHIP FEE, IS A ONCE A YEAR PAYMENT AND COVERS THE COSTS OF  PRODUCING AND CIRCULATING A  BI-MONTHLY NEWSLETTERS, & OTHER CLUB EXPENSES.

Further information etc., may be had by Tel/Fax; on 0117 957 0997. Mobile No; 0773 294 9557. Or by E-mail to;  philip.steadman@tesco.net

 NOTES/COMMENTS Etc.  

 * PLEASE NOTE  The registration/membership for 2004 is for dual membership of the two named  clubs, and that for previous members who are renewing there is a loyalty bonus. Both moves are intended to help in keeping the costs of enjoying your sport down, or at least mitigating any unforeseen rises in insurance or other official fees, over which we have little or no control. Other ways of trying to keep costs down will be outlined in the newsletter, and covered more fully at the AGM in January.