Affiliation Form

Name Of Club(Required)

Date(Required)

Company Registration Number(Required)

Location(Required)

The Annual General Meeting of the above club was held at:

Date(Required)

The Annual General Meeting of the above club was held on this date

In accordance with the constitution of Motorcycling Ireland the following were elected to act in the office of:

President(Required)

First Last

Chairman(Required)

First Last

Secretary(Required)

First Last

Treasurer(Required)

First Last

Children's Officer(Required)

First Last

Initials of Club Secretary(Required)

Date(Required)

A copy of the Balance Sheet/ Statement of Accounts of the club, as adopted at the last Annual General Meeting must be enclosed with this application.

Please ensure that this section is completed by the person/s who act as Treasurer of the Club’s accounts prepared for the said Annual General meeting.

It is compulsory that official club accounts are forwarded with your application as the affiliation is not complete without them.

Required Documents(Required)

A statement of accounts must accompany the application. It is compulsory that audited club accounts are forwarded with your application as the affiliation is not complete without them.

Upload a photo or pdf of the Balance Sheet / Statement of Accounts below

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 25 MB, Max. files: 10.

Please choose the applicable statement below

I declare that the true position of the Club’s financial affairs is as reflected in the Presented Statement, that this same statement was adopted without qualification at aforementioned Annual General Meeting.

I declare that the true position of the Club’s financial affairs is as reflected in the Presented Statement, that this same statement was adopted with qualification at aforementioned Annual General Meeting.

Statement adopted with qualifications

In the case of any qualifications please include those below

Initials of Acting Auditor for Hon. Treasurer(Required)

Date(Required)

Secretary's Address(Required)

Street Address Address Line 2 City State / Province / Region Eircode Country

Secretary's Phone(Required)

Secretary's Email Address(Required)

VERY IMPORTANT: This is the email address where any corrospondence from Motorcycling Ireland will be sent, including relating to this form if any additional information is required ahead of affiliation approval. It is also where the Affiliation Certificate will be sent if the application is approved.

Enter Email Confirm Email

OPTIONAL: Contact details if different from above

Contact details if different from above (details which will be shown on the website)

Optional: Website Contact Address

Street Address Address Line 2 City State / Province / Region Eircode Country

Optional: Website Contact Phone

Optional: Website Contact Email Address

The affiliation fee is €50.00

Would you like to make an online payment now or do you wish to be sent an invoice after submitting your details?

Pay Now or Later(Required)

Pay Now Online

Pay Later

Affiliation Fee

Price:

Credit Card(Required)

Once you submit the form below, we will be in touch to confirm the next steps.