Merseyside and Lancashire Motorcycle Group

Application Form for Membership

Please complete the relevant details, sign, date the form and return by post or email to:

Keith Baldock.

12 Fulwood Mews, Little Sutton, Cheshire CH66 3SS

Email:

Associate Membership

The cost of associate membership is £80. The cost includes; a place on one of our set 6 week fixed length Advanced Riding courses, your associate membership fee plus a copy of ‘Roadcraft’and the ‘Highway Code’, which will be sent out as part of the welcome pack. Please Note: In addition to the course fees, associates will be asked to contribute £0.20 per mile towards your Tutors running expenses we suggest £10, this will be asked for at the start of each training session.

I wish to apply for Associate Membership & a place on a 6 week Advanced Riding course.

Amount Here

Membership

If you have already passed the RoSPA test within the last 3 years, please complete the following.

Date of Last Test…………………………Grade……………………….. RoSPA No…………………

I would like to join as a member of RoSPAMerseyside - Motorcycle Group. Cost of membership is £25 per year or £12.50, if you are joining after October.

Amount Here

Please note:

  • The renewal date for group membership is March 31steach year
  • The price of the Advanced Riding Exam is additionally payable direct to RoSPA and is not included in course fees.
  • For any riding that I do with the RoSPA Merseyside Motorcycle group, including observed sessions and social rides. I confirm that at all times I will be held responsible for my own riding and the control of my vehicle.
  • I will not carry out any instruction or act upon any direction which I believe to be unsafe. My vehicle will be insured, taxed and if appropriate hold a current MOT certificate. I am the holder of a current driving licence valid for the vehicle that I ride.
  • I agree that RoSPA and the RoSPAAdvanced Drivers & Riders Merseyside and Lancashire Motorcycle Group will accept no liability for accidents or damage however so caused as a result of my riding. I understand that it is my own responsibility to ride safely, responsibly and to be in compliance with the law at all times.

The above Personal Data will be held by RoSPA Advanced Drivers & Riders Merseyside and Lancashire Motorcycle Group for the purpose of providing the requested product/service. If you would like RoSPA Advanced Drivers & Riders Merseyside and Lancashire Motorcycle Group to keep you informed on social activities, Group News and safety related matters by E-mail, telephone or post then please tick here

I enclose a cheque/ I have paid by PAYPAL the sum of £ ...... payable to ‘RoADAR Merseyside – Motorcycle Group’

Signature: ...... Date:……………………