RENEWAL APPLICATION

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Volvo Enthusiasts Club
MEMBERSHIP  RENEWAL FORM 2012

Subscription Rates cover 2 persons and are:-

UK Full year (1st January – 31st December) £22.00

Overseas Full year (dates as above) £25.00 payable in sterling

I/We hereby apply to renew my membership of the “Volvo Enthusiasts Club”
Name(s)_________________________________________________
Address_________________________________________________
              __________________________________________________
County________________________  Post Code_________________
Home Phone  No.___________________Mobile No.________________
Email address_______________________________Occupation_____________________________

 

Your Current Membership No._______________

                                          VEHICLE DETAILS

Vehicle Details
Model/Colour____________________Year__________Reg No.____________
Model/Colour____________________Year__________Reg No.____________
Model/Colour____________________Year__________Reg No.____________
Permission to give details to 3rd party?          Yes/No
Would you be prepared to display your vehicle?          Yes/No
As a Club member do you intend to insure your vehicle(s) with Footman James          Yes/No
I enclose cheque/PO for £_________made payable to “Volvo Enthusiasts Club”

Signed______________________________________________Date________________


Please return completed form with payment to:-
VEC Membership  Co-Ordinator,
21 Woodford Close, Hightown, Ringwood, Hants. BH24 1UT