Milton Buzzard MCC

Online membership application:

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Membership application form

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Name: *

Phone: *

E-mail address: *

Address: *

Postcode: *

Year of Membership applied for: *

Youth: DoB for under 18s:

Car/van registration: *

Number of adults (£45 per, enter 0 if none): *

Number of youths (£20 per, enter 0 if none): *

One off fee (£30) for keys to the ground (yes/no) *

Total (£) you will be sending via BACS: *

New or Rejoining member? *

If rejoining please give the year you were last a member and your membership number:

Captcha (spam protection code): *

I HAVE READ THE MEMBERSHIP CONTRACT AND SAFETY RULES OF THE CLUB (SEE THE "MEMBERSHIP/JOIN UP" PAGE) AND AGREE TO ABIDE BY THEM.

I agree to abide by the Rules of the club and the National sporting code of the A.C.U at all times.

I hereby indemnify the Milton Buzzard Motor Cycle Club Limited, all officials, Land Owners and representatives of the club, in respect of legal liability to third party claims arising out of any accident whilst using land rented by the club as a practice facility.

I agree that my name and address and details may be kept on a computer for Administration purposes only and will not be given or sold to any other party.

By submitting this form I verify this counts as my digital signature, that I am over 18 years of age and authorised to sign on behalf of all the persons listed (including any youth members).

Note: Fields marked with * are required

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PAYMENT DETAILS FOR PAYMENT VIA BACS:

Milton Buzzard Motor Cycle Club Limited
Sort code: 09-01-28

Account No: 27061113

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PLEASE NOTE: memberships will be processed once payment is received.

If you are able to email a proof of payment to membership@miltonbuzzard.com (screeenshot or phone photo is fine) it should speed up getting your membership processed.

Our location:

Mount Farm Trials Park

Milton Keynes

MK1 1BU

Contact us:

If you have any queries please contact us:

info@miltonbuzzard.com

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