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Membership Application Form

Payment is taken by PayPal. You do not need a PayPal account.

Name:

Address:

Postcode:

Email Address:

Telephone:

Date of Birth:

Age:

Nationality

Licence Number:

BARC Number:

CTCRC Number:

CAR:

Make of Car:	Model:	Primary Colour:
Engine Capacity:	Year of Car:	Prefered Race Number:
Transponder Number:

SERIES/CHAMPIONSHIP

Classic and Historic Touring Car Series (Pre 1966)	A	B	C	D	E	F	G
Post Historic Touring Car Championship (Pre 1974)	A	B	C	D	E	F	G
Classic Group One Touring Car Championship (Pre 1983)	A	B	C	D	E	F(PBMW)	G
Pre 93 Touring Car Championship (Pre 1993)	A	B	C	D	E	F	G(PBMW)
Classic Thunder incorporating BOSS Championship (Pre 2004)	A2	A4	B	C	D	E	F
Blue Oval Saloon Series (BOSS) (Pre 2009)	1	2	3	4	5	6

Any racing or club endorsements in the last five years:
Please give details of all previous racing history, if you did not race with the CTCRC last year:

MEMBERSHIP

Race Membership and Championship/Series Registration	£ 95.00
Classic and Historic Membership and Registration only	£ 60.00
Associate Membership (Entitles the holder to compete as the second driver in two driver races)	£ 35.00
Weekend Membership (Entitles the holder to race for one weekend, no BARC membership required) Weekend membership dates required:	£25.00
TOTAL	£
NOTES: One fee for any number of registrations. All memberships expire on 31 December. All memberships, except Weekend Membership, allow you to vote at the AGM. All race membership fees may be discounted by 25% after the mid point of the season, with the exception of Associate Membership and Weekend Membership. You must register and pay fees a minimum of 14 days prior to any championship race in which you wish to compete. Whilst the club is not charging for more than one championship, you must still register for each championship you wish to race in to receive a race number. Please note that this may not be the same number for more than one championship. Without this entry procedure you will not be allowed to race. Weekend Membership may be used no more than three times a season without BARC membership. Please make cheques payable to The Classic Touring Car Racing Club. Membership may take up to 21 days to process.
I have read and understood all the rules and regulations, and agree to abide by the rules, Competition and Technical Regulations of the ?CLASSIC TOURING CAR RACING CLUB? as on our website and drive at all times with due respect to all other competitors. I am over 17 years of age. I wish to be registered with BARC for the above Championship(s).