CLUB/TRACK UPDATE

To assist us in updating our records could you please complete the details below. Thank you for your assistance in this matter.

Club/Track Name:

Address for Club or other Correspondence:

President:

Phone:

Mobile:

Email:

Email is used to inform Clubs/Tracks of news and updates and is not given to any third party.

Vice President:

Phone:

Mobile:

Email:

Email is used to inform Clubs/Tracks of news and updates and is not given to any third party.

Treasurer:

Phone:

Mobile:

Email:

Email is used to inform Clubs/Tracks of news and updates and is not given to any third party.

Secretary:

Phone:

Mobile:

Email:

Email is used to inform Clubs/Tracks of news and updates and is not given to any third party.

Licensing Officer:

Phone:

Mobile:

Email:

Email is used to inform Clubs/Tracks of news and updates and is not given to any third party.

Other Relevant Committee Position you would like to advise us of:

Position:

Name:

Phone:

Mobile:

Email:

Email is used to inform Clubs/Tracks of news and updates and is not given to any third party.

Approximate date or month of next AGM:

Associations Liability Insurance: