|
Please print out this page, complete the form and send to: David Smith,
Hillclimb & Sprint Association, 11 Wellington Drive, Bowerhill, Melksham, Wilts SN12 6QW
together with a cheque made payable to "The Hillclimb & Sprint Association". |
|||
| Please Tick Box | |||
| Single Membership Fee (Including SPEEDSCENE Magazine) | £42 |
|
|
 | |||
| Joint Membership Fee (Family member at same address, including one magazine) | £66 |
|
|
| |||
| Plus joining fee per member | £ 2 |
|
|
| |||
| HSA Cloth Badge | £ 3 |
|
|
| |||
| HSA Inside Sticker | £ 2 |
|
|
| |||
| HSA Outside Sticker | £ 2 |
|
|
| |||
| Subscription to SPEEDSCENE Magazine UK | £ 30 |
|
|
| |||
| Subscription to SPEEDSCENE Magazine Europe Air Mail | £ 39 |
|
|
| |||
| Subscription to SPEEDSCENE Magazine Rest of World Air Mail | £ 45 |
|
|
| |||
| Name | ||
| ||
| Name (Joint member) | ||
| ||
| Address | ||
| ||
| ||
| ||
| Phone | ||
| ||
| Signed | Date | |
| ||
