SPEEDWAY RIDERS ASSOCIATION
Please complete this membership form and send it, with the relevant fee, to the address given below, making cheques payable to Speedway Riders’ Association.

MEMBERSHIP FEES:  £5

Elite League, Premier League, Conference League, Uncontracted riders  

SURNAME...........................................FORENAME...................................................

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…………………………………………………...............................................  POSTCODE ………………

TEL NOS:   HOME ……………………………
                MOBILE ………………………….
FAX ……………………………………E-MAIL ……………………………………......................

DATE OF BIRTH ………………………...... 
ACU LICENCE NO ………………….…......

‘PARENT’ PROMOTION ………………………….……………………………………

2007 TEAM ……………………………………………………………………………...

Disclaimer
The organisers of the Speedway Riders’ Association will endeavour to assist all members in resolving disputes by acting in an advisory capacity only and cannot accept any legal liability or responsibility. I wish to become a member of the Speedway Riders’ Association and agree to abide by the terms of membership.

Signed……………………………………………….Date ………………………….