Foxhill Motocross - MX Club Membership Application Form

QUICK SIX

	Honda	Kawasaki	KTM	Suzuki	Yamaha		Other (please state)
Your preferred bike manufacturer:

	Fox	Alpine Stars	No Fear	Quicksilver	Animal		Other (please state
Your preferred apparel brand:

	Monster	Relentless	Red Bull	Rock Star	Full Throttle		Other (please state)
Your preferred energy drink:

Would you attend a Music &	Yes	No	(priced at around £50 for the weekend inc Live Music + headline
MXFestival at Foxhill Moto Park:			acts, FMX display & International Motocross + camping)

What most attracted you to join	Riding (Track weekend)	Event Discounts	Member Offers	Other (please state)
the Foxhill MX Club:

What you would do to
improve Motocross in the UK:

YOUR DETAILS
Name:
D.O.B
Telephone:
Mobile:
Email Address

ADDRESS
House name no.
Street:
Town:
County:
Post Code:

Preferred Racing no.

Riding Mode:

Solo

Quad

(please tick as necessary)

MEMBERSHIP FEES 2009/2010

Annual Subscription runs from 1st Nov ‘09 to 31st Oct ‘10 Please tick as required

ADULT RIDERS (18+):	£100.00
ADULT NON-RIDER (18+):	£ 45.00
JUNIOR NON-RIDER (U18);	£ 25.00*
CLUB OFFICIALS:	FREE
*Parent/Guardian must apply on behalf of proposed Junior

PAYMENT

On receipt of your online application we will contact you to make payment arrangements. Please state below how you would prefer to pay your membership fee?

I wish to pay by Cheque:

I wish to pay by PayPal

I wish to pay by Bank Transfer

CONFIRMATION

I hereby declare that I am over the age of 16, have read, understood and agree to abide by the rules and regulations of Foxhill MX Club. In respect of applications for U16’s, the applying parent/guardian is responsible for ensuring that their nominee member abides by the rules and regulations of Foxhill Motocross Club. For rules visit: www.foxhillmx.com/club_rules