NATIONAL  SPRINT ASSOCIATION LTD.

MEMBERSHIP FORM

The adult membership fee is £25. Junior membership is free if parent is a member.

Please fill out this form in BLOCK CAPITALS thankyou:

Title (Mr./Mrs. etc.)
Name
Address
Postcode
Tel. No. (including area code)
Were you a member last year?	YES / NO
If under 16 years of age please state date of birth	___ /___ /___
Do you require regulations and entry forms?	YES / NO
Timing fund donation
Total monies enclosed

Disclaimer:

EVERY MEMBER OF THE ASSOCIATION UNDERTAKES TO CONTRIBUTE TO THE ASSETS OF THE

ASSOCIATION IN THE EVENT OF THE SAME BEING WOUND UP WHILE HE/SHE IS A MEMBER

FOR PAYMENT OF THE DEBTS AND LIABILITIES OF THE ASSOCIATION CONTRACTED BEFORE

HE / SHE CEASES TO BE A MEMBER AND OF THE COSTS CHARGES AND EXPENSES OF

WINDING UP AND FOR THE ADJUSTMENT OF THE RIGHTS OF THE CONTRIBUTARIES AMONG

THEMSELVES SUCH AMOUNT AS MAY BE REQUIRED NOT EXCEEDING £10.

SIGNED: __________________________________

Please make cheques payable to “National Sprint Association Ltd.”

Send your payment (along with an SAE) to:

ROY FISHER, 66 HENCONNOR LANE, BRAMLEY, LEEDS, LS13 4LD