Croydon and District Motor Club Limited

Membership Application / Renewal Form

Name:    
Address: Town/City
Post Code:    
Telephone No.: e-mail:



Signed:.........................................................		 Date:


I/We wish to apply for /renew my/our membership of the Croydon & District Motor Club Limited, and in consideration of my/our application for membership being accepted, I/We agree to be bound by the Memorandum and Articles of Association of the said Motor Club.

Type of Membership (please tick the appropriate box)
  From 1st April-31st March From 1st October-31st March
(New Members Only)
Individual Membership £15.00 £ 7.50
Joint Membership(Applicant and Spouse)
Name of Spouse 		£17.50 £ 8.00
Full Time Student £10.00 £ 5.00
Family Membership
(Applicant and Spouse plus 2 children
under 17 years old) 		£20.00 £10.00

The limit of liability of each member will be £1.00 as noted in Para.7 of the Memorandum of Association. Copies are available on loan from the club Secretary