Membership Form
2010 ANDREAS RACING ASSOCIATION LTD
(Affiliated to the Isle of Man A C U Centre)
Membership Form
This application form should be forwarded to:
Phil Kneen, Membership Secretary, 9 Ballanawin, Strang, Braddan, Isle of Man IM4 4NR
Tel: 01624 852700 / Mobile 07624 493952 Email: mailto:memsec@manx.net
BLOCK CAPITALS PLEASE
I………………………………………………………………………………………. Full name
of Address…………………………………………………..
of Address…………………………………………………..
of Address…………………………………………………..
Post code……………………………………………………
Tel/ work/mobile……………………………….. Date of Birth………………………………..
Email…………………………………………………………
Hereby apply to become a member of the Andreas Racing Association Ltd on the terms and conditions set out in the Memorandum and Articles of Association of such company and in particular paragraph 5 of the memorandum which reads as follows; Contribution 5 Every member of the Company undertakes to contribute to the assets of the Company in the event of its being wound up while he or she is a member, or within 1 year of ceasing to be a member, for payment of the debts and liabilities of the Company contracted before he or she ceases to be a member, and the costs, charges and expenses of winding up, and for the adjustment of the rights of the contributories among themselves, such amount as may be required, not exceeding £1 And we, the undersigned members of the said Company to whom aforesaid candidate is personally known hereby and respectively propose and second such candidate for membership of the said Company and agree that we will be responsible for his or her own eligibility I also agree to my details being kept on computer for club purposes with the understanding that my details will not be handed to third parties without my written permission
Date………………………….. Signed by Candidate……………………………………..
Proposer (PRINT NAME) …………………………………………..…. Signed……………………….
Seconder (PRINT NAME) …………………………………………..…. Signed……………………….
Membership Fee £ (Social £10 / Racing £25 January 1st to December 31st 2010)
The following must be completed when the candidate is under 18yrs (by parent or guardian)
And I Parent or Guardian ………………………………………………………………(PRINT FULL NAME) of being over the age of 18 GUARANTEE to the Company the performance by the above named candidate of his or her own obligations as a member of the said Company
Signed………………………. Date…………………………..
Membership Forms with Stamped Addressed Envelopes will be processed a lot quicker than forms not having Stamped Addressed Envelopes enclosed.