Club Membership Application Form

Please print off this form and fill in.
Once completed, please enclose a cheque made payable to Remote World Model Car Club and send to:

Mr A Svensson, 6, Malvern Road, Maidenhead, Berks, SL6 7RH

Application For Club Membership

Name:

Address:

Postcode:

Telephone:

E-mail Address:

Date:

Date of Birth (if junior):

AMB Personal Transponder No:

Frequency 1:

Frequency 2:

Frequency 3:

Frequency 4:

Make/Model of Car:

PLEASE NOTE: BRCA Membership is compulsory to race at RWMCC.
If you are already a BRCA member or joined via another Club's affiliation scheme then please state your BRCA No._____________ and the name of the Club that you joined through______________________________________.
Please tick as applicable:

Senior - Ł32 (Inclusive of BRCA Membership) - Ł20 + Ł12 BRCA Membership Fee

Junior - Ł22 (Inclusive of BRCA Membership) - Ł10 + Ł12 BRCA Membership Fee

Senior - Ł20 (Exclusive of BRCA Membership)

Junior - Ł10 (Exclusive of BRCA Membership)

RWMCC and BRCA Membership is valid from January 1st through to December 31st.