GEST MX HASTINGS MCC LTD
MEMBERSHIP APPLICATION FORM 2016
Single Membership : £35 – Family : £50 – Associate (non – riding) - £10 (please circle)
Rider 1 Name: .......................................
Address: ...............................................
.............................................................
.............................................................
Postcode: ............................................
Tel Home: ...........................................
Tel Mob: .............................................
Rider 1 Date of Birth: .........................
Rider 1 ACU Licence No: .....................
Rider 1 Signature: ...............................
(Parent or Guardian if under 18)
E-Mail Address: ...........................................
Groups: Please Tick Box for the group you wish
And preferred riding number (0-99 All Groups):
GROUP
GMX 1
GMX 2
GMX 3
Open Youth
Senior BW85
Inter SW85
Junior 65
Autos
TICK
NO. REQ.
Other Riders in Family Membership:
Rider 2 Name: .................................................
Rider 2 Date of Birth: ......................................
Rider 2 Signature: ...........................................
Rider 2 ACU Licence No: .................................
Rider 3 Name: .................................................
Rider 3 Date of Birth: ......................................
Rider 3 Signature: ............................................
Rider 3 ACU Licence No: ...................................
Rider 4 Name: ...................................................
Rider 4 Date of Birth: ..........................................
Rider 4 Signature: ..............................................
Rider 4 ACU Licence No: .........................................
If you require an ACU licence form sent to
you, tick here ......... or go to www.acu.org.uk
to download or request your unique number
here .............to renew online.
When you enclose your ACU licence form for
signing, please make sure you enclose an
envelope with sufficient postage addressed to
the ACU. Also a SAE envelope for the return
of your membership cards. Please send your
completed forms to the membership
secretary below including 2 separate
payments, 1st to GEST MX HASTINGS MCC LTD
and the 2nd to ACU
NEW YOUTH RIDERS MUST INCLUDE A COPY OF THEIR BIRTH CERTIFICATE
Youth riders will compete in classes shown in the ACU handbook
Youth Riders under the age of 18 must be signed in by a parent or guardian at all meetings
Please note: BW and SW as well as GMX 2 and GMX 1 will be combined on the day if insufficient
entries are received
(This will be decided on the day of racing numbers, track and weather conditions considered)
THE COMMITTEE RESERVES THE RIGHT TO REFUSE MEMBERSHIP
ACU and Membership cards must be shown at every meeting at signing on or you will have to pay for
a day licence.
Please note: Joining the club does not guarantee a riding place at meetings they are given on a first
come first serve basis.
Please make cheques payable to GEST MX HASTINGS MCC LTD
Please complete this form and return with a stamped address envelope to the Membership Secretary
Mr I Tiltman, 10 Thornbank Crescent, Bexhill on Sea, East Sussex, TN39 3ND