Instructions

Complete all details in the form below and submit your payment using Credit/Debit Card or Paypal. If you have already paid your membership fee (e.g. with your race fees at a club meeting) select the “Already Paid” option and provide information about where and when you paid.

If you have any difficulties with this form please email webmaster@srccc.club

First Name
Please leave this field empty.
Last Name

Date of Birth

BRCA Number

NOTE: All racers must belong to the BRCA, this includes third party liability insurance. Visit www.brca.org/join

Address Line 1

Address Line 2

Town/City

County

Postcode

Phone #1

Phone #2

Please leave this field empty.

Adult (18+) - £20Junior (Under 18) - £10
Membership category is based on driver's age as of 1st January

Pay Now (Card or Paypal)Already Paid

Choose payment method
Pay with Card (preferred)Pay with PayPal

Describe when/where/how you paid

e.g. paid cash at race meeting Tuesday 7th Jan

By submitting a membership application you agree to SRCCC managing your information in accordance with the club’s privacy policy: https://srccc.club/privacy

SRCCC Membership Form

Instructions