Newbury RC Club

Membership Form 2012

Name :

     

Address :

     

Postcode :

 

     

Membership :

New member              Existing member (renewal)            

Phone No :

     

Mobile :

     

Email address :

     

Frequency

2.4GHz            40MHz            27MHz        

Crystals :

(minimum of 3 unless 2.4GHz)

27MHz

40MHz

 Brown

 Gr/Br

 665

 725

 785

 845

 905

 965

 Red

 R/Br

 675

 735

 795

 855

 915

 975

 Orange

 R/Or

 685

 745

 805

 865

 925

 985

 Yellow

 O/Y

 695

 755

 815

 875

 935

 995

 Green

 Y/G

 705

 765

 825

 885

 945

 

 Blue

 Bl/G

 715

 775

 835

 895

 955

 

Date of birth :

if under 16 on 1st January 2011        

PT number :

     

BRCA number :

(existing members)

     

Signed :

 

Date :

     

I agree to abide by current BRCA regulations and club rules

I give my consent for photos and videos taken at club meetings in which I appear to be shown on the club’s website

Membership fees :

Club membership only (adult)

Club membership only (junior)

Club + BRCA membership (adult)

Club + BRCA membership (junior)

£15

£12

£29

£26

NRCC is a BRCA affiliated club

 

Newbury RC Club holds personal data in respect of its members on a computer, in accordance with the Data Protection Act 1984, the club may use such data for the following purposes:

a)  disclosures to authorised officers of the club for the purposes of day to day membership administration

b) the publication from time to time of a membership list for the exclusive use of members in pursuit of their hobby and not for any trade purposes.