| THE FAIRTHORPE SPORTS CAR CLUB
FAIRTHORPE TURNER ROCHDALE TORNADO ASHLEY FALCON EB HISTORIC SPECIALS MEMBERSHIP APPLICATION FORM |
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| Please complete this form and return it with your remittance to
Membership Secretary 9 Lynhurst Crescent, Hillingdon, Middx UB10 9EF, UK I/We* the undersigned with to APPLY FOR/RENEW* Membership of the above Club for the twelve months/5years* to 30th April (Please enter year) (*delete as applicable) |
| Name(s) *Mr/Mrs. ..................................................................................
Names(s) *Mr./Ms. ................................................................................. Address ................................................................................. ................................................................................. ................................................................................. .......................................................... Post Code .............................. Tel. No. (Home) .........................................Email Address ........................................ DETAILS OF CARS Make ............................................................... Model .............................................................. Registration No. ........................................... Year of Registration ............... Chassis No. .................................................... Engine Type .................................................... Capacity ........................................................ Other Information ......................................... If you want details left off the Computerised List please tick here Are you prepared to show your car at Exhibitions ? YES NO MEMBERSHIP FEES |
| UK | £17 p/a or £85 for 5 years | |
| *Overseas Surface/Europe | £19 p/a or £95 for 5 years Euro: 38 p/a or 190 for 5 years US$36 p/a or US$180 for 5 years |
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| *Overseas Airmail | £22 p/a or £110 for 5 years US$42 p/a or US$210 for 5 years |
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TOTAL ENCLOSED |
| Please make cheques payable to
FAIRTHORPE SPORTS CAR CLUB Signature ............................................................ *Overseas members: International Money Order or Eurocheque in Steriling |