Name ............................................................................ Membership No..............

Address ......................................................................... BRCA No................

........................................................................................

Post Code ........................................... Telephone ....................

E-Mail ........................................................................................

Age if under 16 ....................................

Type of R/C Car 1) ............................... PT no ...........................

Type of R/C Car 2) ............................... PT no ...........................

Crystals ................./....................../......................./........................

Membership for both Peterborough Model Car Racing club and BRCA run from January 2010 to December 2010

Total cost payable £20 (which includes £13 for BRCA Membership)

It is a requirement that all club members are also members of the BRCA.
If you are a member of the BRCA either privately or with another club, then on production of a valid BRCA membership card, membership cost will be reduced accordingly.

Please send this completed form with payment to:-
Matthew White (or bring to meeting)
e-mail
pmcr.secretary@googlemail.com

I agree to abide by rules of the Peterborough Model Car club.
I also appreciate that in certain circumstances model car racing may be hazardous

signed ................................................... Date .............................

Parent/Guardian signature (if under 16) .......................................

Note: Any new members should also fill in the BRCA Membership form.
All details will only ever be used to contact you on club business.