2007 Membership Application Form
Please return to:
Mr. P Duhig, 7 Lenham Way, Twydall, Gillingham, Kent. ME8 6BX
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Full Name: |
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Telephone: |
Home: |
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E-mail: |
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Membership Type
Tick one only |
Please make cheques payable to BHRA and enclose a stamped addressed envelope. Please do not send cash.
Subject to the acceptance of my application, I agree to abide by the rules laid out in the constitution and assist in promoting the club at all times.
Signed: ……………………………………….. Date …………………………………
Your name
and contact details will be given to other club members for communication
purposes.
If you do not wish your details to be published, please tick this box.
If you are happy to have details of your Vehicle or Project published, either in BHRA literature
or on our club website then please fill in the details on the form below.
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Owners Name: |
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Vehicle: (Make, Model, Year) |
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Colour: |
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Modifications/Additional Info: |
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Photo Attached? Yes / No Alternatively email to scott.collin1@virgin.net |
Please attach any additional information that you may have.