Text Box: Application for Membership 2010
Surname :		________________________________________
First Names(s)		________________________________________
Address :			________________________________________
				________________________________________
				________________________________________
Post Code :			________________________________________
Tel :				________________________________________
Mobile :			________________________________________	
Email :			________________________________________
Main Interest :
Enduro, Trials, H&H, Moto X, Grass Track
I hereby apply to become a member of the ADMCC Ltd for 2010.  I agree to abide by the rules and regulations of the club and accept that I participate in club activities entirely at my own risk.
I enclose a membership fee of £5(cheque made payable to Aberystwyth & District Motorcycle Club)
Signed                                                             Date
The membership form with the fee is to be sent or returned to membership secretary John Morris, Pantyderw, Llanilar, Aberystwyth SY234PF, enclosing a SAE for return of membership card
Text Box: Aberystwyth &
District Motorcycle Club Ltd 06692005

Affiliated to the ACU Mid Wales Centre

www.admcc.co.uk