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Grove House Farm, Monkland, Near Leominster, Herefordshire, HR6 9DF

BORDER COUNTIES

 AUTOGRASS CLUB (BC)

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BORDER COUNTIES

LICENCE APPLICATION 

Please follow the process below to apply for a National Autograss Licence and become a member of Border Counties Autograss Club. This process if for new and existing  membership.

If you have any club queries please contact Jodie Bowen 07866 038102
Email: jodiebentley59@hotmail.co.uk

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NATIONAL AUTOGRASS SPORT ASSOCIATION LTD.

LICENCE APPLICATION FORM

(BORDER COUNTIES)

By completing this form you are giving consent to Border Counties Autograss Club to apply on your behalf for the issue of a NASA licence in the category you select below.

Please complete all details for the applicant (intended licence holders) and tick the "terms and conditions" box . Ensuring that you provide your signature on this application.

In addition, please tick the "medical declaration" ONLY if this applies to you. 

APPLICANT DETAILS (INTENDED LICENCE HOLDER)

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LICENCE INFORMATION

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CAR INFORMATION AND RACE NUMBER

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