Dunfermline Car Club Membership Application Form 2024

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Dunfermline Car Club - A Company Limited by Guarantee

Personal Details

I am aged 16 or over and would like to become a member of Dunfermline Car Club Ltd. I will abide by the rules of the club. Membership runs from the date of application to 31 December 2024

First Name *

Surname *

Address 1 *

Address 2

Town *

PostCode *

Email *

Tel No

Mobile No

Date of Birth *

Enter Date of Birth as dd/mm/yyyy so for 1st January 1900 type 01/01/1900

Occupation *

Details

Please tick all that apply

Female

Male

Non Binary or Gender Fluid

Registered Disabled

Prefer not to say

Area of Involvement in Motorsport

Please indicate below areas of involvement and interest. Help and assistance of any kind is always welcome

Competitor

Driver

Co-Driver

Clear selection

Official/Marshal

Please supply Grade and Licence No

Declaration

Acceptance - Full

I am aged 16 or over and wish to be elected a full member of Dunfermline Car Club Ltd and if elected, I agree to abide by the rules of the club

I agree

Clear selection

Acceptance - Marshal

I wish to be elected a marshal member of Dunfermline Car Club Ltd and if elected, I agree to abide by the rules of the club. I understand that I do not have voting rights and will not receive a membership card

I agree

Clear selection

Membership Fee *

Please pay the membership of £10 by Bank Transfer to Dunfermline Car Club Ltd Sort Code 80 22 60 Account No:20651068

Full Member - Bank Transfer £10

Marshal Member - FOC

Sending Info *

I agree to the Dunfermline Car Club sending me information relating to my membership, motorsport events, a newsletter and any other relevant information by email

I agree

I do not agree

Required

GDPR *

GDPR / Data Protection: The information supplied on this form is used to administer your Club Membership. We will share some of your information with service providers, eg to print programmes and results. We will also share your information with Motorsports UK as required by the General Regulations and your information may be released to other clubs for the purpose of issuing bulletins and regulations.You can change your mind at any time by just letting us know. Please see our PRIVACY POLICY on our website – www.dunfermlinecarclub.co.uk

I agree

I do not agree

Required

Submit

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