Membership Form

 

 

Annual Club membership is £12.00 for a single or £15.00 for family membership

 

Personal Details

 

Surname          ____________________________________________________________________

 

Forenames      ____________________________________________________________________

 

Date of Birth   ____________

 

Address          ____________________________________________________________________

 

                        ____________________________________________________________________

 

                        ____________________________________________________________________

 

Postcode         ____________

 

Email Address            ____________________________________________________________________

 

Home Tel No  _____________________________

 

Mobile Tel No            _____________________________

                                   

 

Car Details

 

Car Make e.g. Austin             ______________________________

 

Car Model e.g. Mayfair          ______________________________

 

Year of Registration   ___________________

 

Registration Number ___________________

 

Car Colour                  ___________________

 

For aiding our purchasing of future regalia we would like to know approximate clothing size.

 

T- Shirt Size please indicate as appropriate

 

Small               Medium                      Large              Extra Large