ULSTER - KARTING CLUB

Membership form

ULSTER KARTING CLUB LTD.
MEMBERSHIP APPLICATION FORM FOR YEAR 2011

I wish to become a member (or renew my membership) of the Ulster Karting Club Ltd. For 2011.

NAME:
ADDRESS:
POSTCODE:
TELEPHONE:
CLASS: (if known)
E-MAIL ADDRESS:

I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE CLUB. (Please note that any membership issued under this application is provisional pending election to full membership by the UKC committee).

MEMBERSHIP:

Senior Driver £30.00
Junior Driver £20.00
Social Member £20.00
Family Membership (Parents plus Junior drivers) £50.00

Send completed forms with the appropriate fee, and a stamped addressed envelope for return of membership card to:

Ulster Karting Club Ltd.
Pauline Hegarty
179B Crosskeys Road
Toombridge
Co Antrim
BT41 3PY

Cheques to be made payable to – Ulster Karting Club Ltd.