Rider Membership Form

SSM.UK Rider Membership Application Form 2008

Name
Phone number
Mobile number
Address



E-mail
Date of Birth	(If under 18? A Parent / Guardian must also sign)
Machine
Make		Model	Engine Size

I wish to join SSM and agree to abide by all rules and regulations governing SSM. I agree to be bound by decisions made by the race organisers and those acting with their authority. I further agree that the decision of the Race Director/Clerk of the Course and/or any Technical Scrutineer will be final.

Signed ЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕ

Signature of Parent/Guardian ЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕЕ

All new Members, please give a brief history of any previous race experience as this will help us select the correct group for you.

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Race Numbers. If you are a new member a number will be allocated to you by SSM.UK Ltd. All existing members will be using the same numbers as 2007 unless otherwise instructed by SSM.UK Ltd. Please attach your cheque for г40.00, payable to SSM.UK Ltd with a stamped addressed envelope, and send to the following address...

SSM.UK, Oakville, Oaklea Lane, Whaddon, Salisbury, Wilts SP5 3DY

Please Note A.M.C.A Licence Application can only be sent on receipt of this form with your membership cheque and stamped addressed envelope.