Print this page out, complete the application form in ink and send by post with your cheque to:
The Club Secretary, Shelsley Walsh Hill Climb, Worcester WR6 6RP
Midland Automobile Club Founded 1901
MEMBERSHIP PROPOSAL 2010


Membership of the Midland Automobile Club entitles you to the following benefits:

  • Free spectator entry to the 9 Shelsley meetings throughout 2010, including entry to the paddock and Members' Tent. One guest is also allowed in free
  • Free regular newsletter
  • Free spectator entry to 4 sprints
  • Social events Discount on entry fees for Club events
  • Sprint Drivers School
  • Fast growing Vintage and Classic Car Section

If you are interested in cars, whatever their type, join now using the official membership form.

MIDLAND AUTOMOBILE CLUB (EST 1901) LIMITED

APPLICATION FOR MEMBERSHIP

Name in full (BLOCK LETTERS)

  
Name of Spouse/Partner  
Address  
   
   
    Post Code  
Occupation  
Company Name  
Phone Nos. Home Business
Email address  

I hereby agree, subject to election, to become a member of the Midland Automobile Club (Est. 1901) Limited and to be bound by the Memorandum and Articles of the said club.
SIGNED DATE
I am interested in:
 
Marshalling
  
Event Organisation
 
Classic Runs
  
Sprint Drivers School
 
Concours D'Elegance
  
Competing
 
Social Events

I own the following vehicles:

Year
Make
Type
     
     
     

I would / would not object to details of my vehicles being published.

SUBSCRIPTIONS, REGALIA, ETC.

(Subscriptions are due on 1st January each year. If a member joins on or after 1st October, the subscription paid will cover the whole of the following year).

Entrance Fee (Compulsory) £10.00 £
MAC Subscription Single Member £74.00 £
MAC Subscription Joint Husband/Wife/Partner £104.00 £
Corporate Membership £750.00 £
     
Life membership subject to availability 12 x annual rate
Must have been a member for 10 years
Membership Total
 £
 
Regalia Items:
Club Tie (T) or Bow (B) please specify
 inc. P&P £11.50 £
Cloth Badge
 inc. P&P £3.50 £
Key Fob
 inc. P&P £3.00 £
Self adhesive badge. Internal (I) External (E)
 inc. P&P £1.25 £
The above prices include VAT @ 15%
Ton-Up Book (zero rated)
 inc. P&P £20.00 £
MAC 100 Video (2001)
 inc. P&P £15.45 £
99 Years of Shelsley Walsh DVD (2004)
 inc. P&P £17.00 £
Shelsley Walsh Centenary DVD
inc. P&P £17.00 £
TOTAL ENCLOSED
 £
Payment Method: Cheque / Credit Card / Debit Card (delete two)
Card Number
                               
Expiry Date   Issue No  
Signature  

Please make cheques payable to the Midland Automobile Club (Est. 1901) Limited and send to:
The Club Secretary, Shelsley Walsh Hill Climb, Worcester WR6 6RP

If you require any further information, please contact the Secretary:
Roger Thomas on 01886 812211 or Fax 01886 812917 during office hours.
secretary@shelsley-walsh.co.uk

OFFICE USE

Date  C.B. Folio  Ref. No. 

ACTIVITIES

  • Shesley Walsh Hill Climbs
  • Sprints
  • Drivers School
  • Sporting Trial
  • Classic Trial
  • Classic Runs
  • Concours D'Elegance
  • Social Events
  • Publications