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Honda

This document is a membership form for The Honda Club of Sri Lanka. It requests information such as the applicant's full name, address, contact details, vehicle details, areas of interest, and agreement to abide by the club's rules. The form notes that membership is valid for 12 months from January 1st and costs 500 Sri Lankan rupees. It also requests permission to store member details electronically and send communications via email.

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Ruwan Kanishka
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93 views1 page

Honda

This document is a membership form for The Honda Club of Sri Lanka. It requests information such as the applicant's full name, address, contact details, vehicle details, areas of interest, and agreement to abide by the club's rules. The form notes that membership is valid for 12 months from January 1st and costs 500 Sri Lankan rupees. It also requests permission to store member details electronically and send communications via email.

Uploaded by

Ruwan Kanishka
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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For official use only

Fee : Method & Date Rcvd _______________ Membership No _____ Priority ______

Membership Form For : THE HONDA CLUB OF SRI LANKA


Please complete this form legibly as possible in BLOCK Capitals

Full Name:
(BLOCK LETTERS PLEASE)

Preferred name on card.

Address: ... .. Tele / Mobile : ...................................................................................... E-mail address: Occupation:Date of birth //... M/ship No if renewal
Model : ................................................. Registration Number : ......................................................

Please allow up to 28 days for the receipt of your membership card. If it is required sooner please enter name & date of event; .
Please indicate your area(s) of interest in motorsport. (Tick all that apply to you.)
Driver (Rally) Driver (Sprint) Driver (Race) Driver (T/days) Navigator Marshal (Rally) Marshal (Sprint) Marshal (Race) Marshal (T/days) Spectator Indicate if you are willing to help with: Event Organisation Club Social Activities Event Marshalling

Club Administration

I wish to apply for membership of The Honda Club for 12 months from 1st January and agree to abide by the Rules of the said Club.
(Please read the statement below, this will be reproduced on your membership card, and then sign below in BLACK INK. This signature will be use to produce your membership card.)

PLEASE KEEP YOUR SIGNATURE WITHIN THE CONFINES OF THE BOX


I hereby declare that I shall not drive any part of a competition which takes place on the public highway or breaking of any road rules. I am acquainted with and agree to be bound by the General Regulations of The Honda Club.

Signed: Membership will be valid from 1st January to 31st December

Date:... Membership Fee: Rs. 500

1. For administration purposes, we keep members details on a computer record. Please tick this box if you do not wish us to do so, although please note that this may severely restrict the information that you receive about the Club and its events. 2. Because the majority of the Clubs membership now has email & internet facilities we are intending to make fuller use of technology to communicate with our members by sending the Bulletin & other communications by email. Please tick this box to agree that you are willing to receive the bulletin and other communications from the Club by email (Your email address will not be passed on to any other club or third party without first obtaining your permission), and repeat your email address in UPPERCASE/CAPITAL LETTERS below. (We will transpose into lowercase) _______________________________@________________________________________________________________
Please return this form together with membership fee to:

The Membership Secretary Gayan Alawatte Ravinda Walpola 0714251021 No: 108 Barnes Place, Colombo 07. Tel: 0722 163648 [email protected]

www.hondaclubsrilanka.com

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