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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”