MEMBERSHIP APPLICATION FORM 2008

Please print clearly in block capitals

Name          ____________________________________________________

Address      ____________________________________________________

                  ____________________________________________________

                  ____________________________________________________

Postcode    ____________________________________________________

Telephone  ____________________________________________________

Mobile       ____________________________________________________

E-Mail       ____________________________________________________

FEES.

Full Member                                 6.00

Life Time Member (LTM)          Free

Committee Member                     Free

I hereby apply for membership of Cramlington & District Motor Club and

agree to be bound by the club rules as set out in the constitution

           Proposed by   ____________________________________________

           Second by      ____________________________________________

           Signed             ___________________________________________

           Date.               ___________________________________________

           Card Number ___________________________________________

Return to

Club Secretary : Mrs M . Wellden

                            43,Bedford Avenue

                            Wallsend , Tyne & Wear

                            NE28 / 8EF