MEMBERSHIP 2017
Online membership application form for 2017

ANNUAL SUBSCRIPTION RATES FOR 2017
The Annual Subscription from 1st January to 31st December. 2017

£30 FOR ALL SOLO RIDERS
£50 FOR COMBINED ADULT AND YOUTH MEMBERSHIP

ONLINE MEMBERSHIP FORM
All fields are required.
CONTACT NAME: Enter the name of your primary contact
CONTACT ADDRESS: Enter your full address including post code..
EMAIL ADDRESS: Enter your email address. It is very important that your email is correct as this is our point of contact with you
PHONE NUMBER: Enter your contact telephone number.
     
PRIMARY MEMBER DETAILS
RIDER NAME: Enter the rider name
RACE RESULT TRANSPONDER No. The transponder number is 5 letters followed by 2 numbers. If you don't have Race Result transponder enter X.
DATE OF BIRTH : Enter your date of birth in dd/mm/yyyy format
MEMBERSHIP TYPE : Solo Adult Rider
Solo Vets Rider (over 35 years)
Solo Rookie Rider (14 to 17 years)
Solo 85cc Rider Big Wheels (11 to 15 years)
Solo 85cc Rider Small Wheels (11 to 15 years)
Indicate the type of membership required.
PREFERRED RACE NUMBER: Enter your preferred race number.
     
SECONDARY MEMBER DETAILS (for combined ADULT and YOUTH membership only)
RIDER NAME: Enter the rider's name. Enter X if no secondary member is required.
RACE RESULT TRANSPONDER No. Enter the transponder number. Enter X if you don't have Race Result transponder or if no secondary member is required.
DATE OF BIRTH : Enter the rider's date of birth in dd/mm/yyyy format
MEMBERSHIP TYPE : Not Required
Solo Rookie Rider (14 to 17 years)
Solo 85cc Rider Big Wheels (11 to 15 years)
Solo 85cc Rider Small Wheels (9 to 12 years)
Indicate the type of membership required.
PREFERRED RACE NUMBER: Enter the rider's preferred race number. Enter X if no secondary member is required.
     
PAYMENT DETAILS
PAYMENT METHOD: Cheque
Bank Transfer
Indicate how you wish to pay for your membership. If you select Bank Transfer you will receive an email with the club's bank account details.
MEMBERSHIP FEE TO PAY: £30 All Solo Memberships
£50 Combined Adult and Youth Membership
Indicate the amount to for your membership(s).
     
DECLARATION

I am over 18 years of age.

Under 18s please ensure your parent or guardian completes this membership form and note a Parental Declaration form will need to be completed and signed at each event.

Please tick the box to signify that you declare to agree to abide by the rules and regulations of Hampshire Motocross Club and the code of conduct of M.C.Federation.

If paying by cheque please make payable to HAMPSHIRE MOTOCROSS CLUB and write your email address on the back of your cheque.Post to the memebrship secretary including a stamped address envelope;

Mr. J.E. SANDERSON. NEW HOUSE, FOBDOWN FARM, FOBDOWN, OLD ALRESFORD. HANTS. SO24 9TD
Tel. 01962 735083

If paying by bank transfer you will be emailed the club's bank account details as part of your membership confirmation to then process your payment.

If you would prefer to download, print and post the 2017 Membership form then please click here.

If you require more combined riders on your membership then please contact Mr J.E. Sanderson using the details above or via the Contact page.