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Glossop & District 4 x 4 Group - Membership 2022
Please fill in all the fields below and the club secretary will be in touch with you shortly.
Many thanks.
(The information you provide is only to be used by the club for its own records and will not be passed to any other organisations or 3rd parties.)
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Email
*
Your email
Name:
*
Your answer
Address:
*
Your answer
Contact Number:
*
Your answer
Your Vehicle (Make & Model)
*
Your answer
Registration Number:
*
Your answer
Please state any medical conditions (optional)
Your answer
Emergency Contact Details
*
Name, relationship to yourself, contact number
Your answer
Do you wish for your details to be entered into the club directory?
Yes
No
Types of event you are interested in?
*
Please click all that apply
Trial Events
Pay & Play driving on hired sites
Navigation Exercise
Green Laning days Sat/Sun)
Green Laning Evenings
Green Laning Weekends (Camp)
Green Laning Weekends (Hotel)
Charity Driving Events e.g. Hayfield Sheep Dog Trials
Required
Any other information:
Such as if you are on Facebook, let us know how to find you and we will add you to the group page to keep you up to date with events etc.
Your answer
Payment
*
Please indicate the type of membership you are applying for and your preferred payment method, as a club we would prefer not to use cash but it can be accommodated.
New Member £20:00
Membership Renewal £15.00
Bank Transfer BACS
PayPal
Sum-Up contactless card reader at your first/next event.
Committee
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