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LEICESTER

 AUTOGRASS CLUB (L)

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LEICESTER

LICENCE APPLICATION 

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

If you have any club queries please contact Matt Duffell
Email Address: autograssleicester@gmail.com
Contact number: 07977937457

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NATIONAL AUTOGRASS SPORT ASSOCIATION LTD.

LICENCE APPLICATION FORM

(LEICESTER)

By completing this form you are giving consent to Leicester 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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Expires 31/01/2022

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Upload File

CAR INFORMATION AND RACE NUMBER

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