Online Membership Application Form

Renew or apply for club membership of West Leeds Motor Club
and request an ACU code (if required)

  • Please fill in all the fields.
  • Once started do not use your browser back button or Close button.
  • Paypal will be used to securely process your payment.
  • Pay by Credit/Debit card or PayPal account.
  • Online Membership fee £6:00.

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First Name
Last Name
If under 18 Date of Birth
Address
PostCode
Phone

Email

Please supply a valid email address, it will only be used to send your ACU code and information relating to trials events.

Tick box if you require an ACU code...