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APIRA Information

Avon Park International Racing Association
membership Application Form

I hereby apply for membership of the APIRA and I agree to be bound by the Memorandum and Articles of Association in respect of membership thereof.

I undertake to contribute to the assets of the Association in the event of its being wound up whilst I am a member or within one year after I cease to be a member such amount as may be required not exceeding 10p.

Full Name and Title:
Address:
Postcode:
Telephone Number:
E-Mail address:

Please Indicate as Necessary:

New Member:
Single or Joint membership:
Renewal:
membership no:
Main interest in Drag Racing

Note: If applying for Joint membership please include additional details below.

Full Name and Title:
Address:
Postcode:
Telephone Number:
E-Mail address:

membership fee: £20.00 (single) / £30.00 (joint)

Please submit this form and forward your cheque/postal order for the value of your membership, made payable to APIRA at the address below.

     
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contact

APIRA Club & Race Secretary
Mrs Wendy Talbot
121 High Road
Wortwell
Harleston
Norfolk
IP20 0EN

Telephone: +44 (0)1379 740100
E-mail: Wendy

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