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Name
(s):
Date of Birth:
..
Address:
Tel No:
..
Date:
..
Motorcycle(s)
owned :
..
Do you require a competition licence through Aberdeen & District? (Yes/No)
I have read the club constitution and agree to
abide by it. I agree to lay no claim and keep indemnified Aberdeen &
District MCC, the SACU, the ACU, (including the owners or leaseholders of any
land used by Aberdeen & District MCC), and their respective officials,
servants, representatives and agents from and against all actions, claims,
costs, expenses and demands in respect of death, injuries (as the case may be),
howsoever caused arising out of or in conjunction with my membership Aberdeen
& District MCC or my taking part in the club and not withstanding the same
may have contributed to or occasioned by the negligence of the said bodies,
their officials, representatives or agents.
Membership runs from 01/01/08 31/12/08,
renewable yearly.
I enclose my membership fee of
£25 Adults
.. £15 under 16
.. £30 Family
£5.00
non-riding member
.. (Family 1 adult & 2 x under 16)
Signature
..
Signature of Parent/Guardian if under 18
.......................................
Please make cheques
payable to Aberdeen & District MCC
Return
form and payment to :
Shona
Grant
Parkside
Croft, Methlick,
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For
Official use only
Received
from (Members name)
..........................The sum of £
For
the membership of Aberdeen & District MCC
Membership
number
.. Signature
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