The Great Western Harness Club 

Application For Membership

 

 

Printable  Word version of this form	Print Application
Please read the data protection statement	Data Protection

 

Application for Membership/ Renewal of Membership 2008

 (Please use Block LETTERS)

Full Name & Title……………………………………………………………………………………………………

 Address………………………………………………………………………………………………………………

 ……………………………………………………………………………………………………………………….

 Post Code……………………Telephone Number. ………………………..Fax Number………………………….

 Mobile Number……………….Email address…………………………………………………required fornewsletter/ mail outs

 Have access ability to access Club WEB Site                         Yes / No

 I wish to apply for membership/ renew my membership of THE GREAT WESTERN HARNESS CLUB (GWHC).  I agree to abide by the rules of the Club.  I understand that I must have valid Third Party Insurance Cover to attend all driving events run by the Club.  I also understand that, with the sole exception of training days, I must either obtain BDS qualification stage 1 or above, or undertake an assessment through the Club, prior to entering a turnout for a GWHC Event.

 I wish to become/renew my:-

Adult Membership              £ 25  + BHDTA fee   

 Family Membership             £ 55  + BHDTA Fee per family members  (complete overleaf)

 Junior Member                    £ 15  + BHDTA Fee

 Supporter                              £12.50   (NO BHDTA fee payable) 

 BHDTA Fee                          £   8.25 (Payable for every member including all members of a family membership)

 (The BHDTA fee is deductible if a copy of your 2007 BHDTA membership card (with number) is provided) ( categories deductible are BHDTA Full / BHDTA Associate / BHDTA Young only)

 Please answer the following questions:  (* if certificates are not in records the membership sec will request copies)

 Do you hold BDS qualifications?                                      Y / N            *(see notes)    

Have you been assessed by an Affiliated Club             Y / N           * (see notes)

Do you require assessment by the Club?                       Y / N              (if yes please contact an assessor –see Rule Book)

Have you competed at a National Event?                        Y / N

 I enclose my cheque for £…………Payable to Great Western Harness Club

Signed ………………………………Date……………………

 Send to:   GWHC Members Sec, Samarkand, 25 Broad Park Road, Bere Alston, Devon PL20 7AH
 

 Family Membership – Two adults plus Two juniors under 16 living at the home address

 Adult.………………………………………………………………………BHDTA fee £8.25

 Adult.………………………………………………………………………BHDTA fee £8.25

 Junior………………………………………D of B……………………… BHDTA fee £8.25

 Junior………………………………………D of B……………………… BHDTA fee £8.25

 

If you wish to join the BHDTA for 2008 subscriptions are as follows:

                        Full Member                             £135

                        Associate Member                   £54

                        Young Member (up to 25)        £54

 

 

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