Membership Application Form.

Please ensure ALL boxes are filled-in correctly. Incorrect forms will not be processed - it is your responsibly to ensure all details are correct and up to date to maintain membership. Membership is valid from 1st February - 31st January.

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MEMBERSHIP TYPE Tick as required

DECLARATION

I hereby apply for membership of Brecon Motor Club. I agree to abide by the Rules of the club as detailed in the Club Articles and Constitution plus the General Regulations of the Motorsport UK and The Welsh Association of Motor Clubs. I agree to save and keep harmless The Brecon Motor Club, together with the Officers, Officials and Members of the Brecon Motor Club from and against all actions, claims, costs, expenses and demands in respect of health and injury howsoever caused arising out of or in connection with my membership. I understand that applications may be refused without the Club giving a reason for refusal. 


NOTE TO PARENTS/GUARDIANS: (under 18 applicants only). 


Please contact the secretary if you do NOT give your permission for photographs of your children to be taken and used or displayed by The Brecon Motor Club. 


DATA PROTECTION ACT 2017: 


I accept that the details recorded on this form will be held on a computer database for all purposes beneficial to the running of the Club. Information from the database will not be made available to any person outside the Club. No personal information will be disclosed unless the club are required to do so by law. All information is subject to the terms and provisions of the Data Protection Act, and is only retained and used by the club internally for membership purposes.

ADDITIONAL DETAILS

PAYMENT METHOD

BANK DETAILS

Bank: Lloyds Bank

Sort Code: 30-99-50

Account No: 46400268

Account Name: Brecon Motor Club

Reference: Your Full Name