Join the club online – 1 event

Please complete all fields in bold. Please note that after submitting this form you will be taken to PayPal, where you can either complete the payment by logging into your PayPal account, or you can pay by credit/debit card if you don’t have a PayPal account. If you would like to pay by bank transfer, fill in the form as usual and when the page transfers to PayPal, click “Cancel and return to Classic 2CV Racing Club” (at the bottom of the page)

Your name:
Address line 1:
Address line 2:
Town:
County:
Post code:
Telephone 1:
Telephone 2:
Email address:

Date of Birth (DD/MM/YY):
Nationality:
Next of Kin:
NoK Phone:
NoK Address:

MSA licence and grade:
BARC member #:

Team name:
Event to enter:

Declaration:

I wish to become a member of the Classic 2CV Racing Club Ltd for one event only and I declare that the information given above and over is correct. I understand that should the above information change in any way I will confirm details in writing to the BARC (via the Classic 2CV Racing Club Ltd).

By applying for event membership of the Classic 2CV Racing Club Ltd I acknowledge that I am a temporary member with no voting rights at the AGM.

I agree to abide by the Classic 2CV Racing Club Ltd's rules and regulations:

Data protection & privacy:

We use your personal information in the following ways: 1) To arrange race entries in conjunction with the BARC, and contact information is shared with them. 2) We will occasionally contact you with information about club business and may request feedback from you. You have the right to opt-out of these emails - simply contact [email protected]

We will hold your personal details for a period of 7 years. You have the right to request erasure of your personal information at any time (using the above email address), but this may affect our ability to organise your race entries. We will never sell your personal details to marketers or other third parties without your consent. For more information, see our privacy policy.

Note: Event Membership – £60 (+£2.50 PayPal processing fee)

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