e-mail - info@two-stroke-racing-supporters-club.com
Membership Application
Name
............................................................................................................................................................................................................................................................

Address including postcode
............................................................................................................................................................................................................................................................


Do you intend to take part in our championships?


Championship Number .............


Support Championship ..............


National #250 Championship ............
Contact Tel ....................................

Mobile ............................................

E-Mail ............................................................................................................
Subscription £10.00/ €15.00 Minimum

..........................................
Please return to
A.J. Hughes
#6 St. Catherines Park
Rush N/County Dublin R.O.I.