GRASA
Membership / Renewal
Name........................................................................................
Address....................................................................................
.....................................................................................
.....................................................................................
Postcode.........................................Phone
No..........................
ACU Affiliation No...................................................................
Rider.......................Official...................Supporter.....................
Rider: £12.00............................................................................
Supporter/Official £8.................................................................
Husband/Wife (Rider) £18.00....................................................
Family (With Rider) £20.00........................................................
Family (Supporter) £15.00.........................................................
Youth £5.00...........................(Must
have adult as full member)
Please return completed form with correct
fee and SAE to:-
Mrs. Di Wain
104 Purbrook Way,
Leigh Park,
Havant.
HANTS
PO9 3SB
Tel: 02392-644061