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Name

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Surname

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Model

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Engine Size

Chassis Number

Transmission

Registration Number

  Brief History  or

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 Would you like to have your   car considered for possible   photo/film shoots in the   future?

    Line 3

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ONLINE MEMBERSHIP  APPLICATION / RENEWAL FORM

Subscription is from April  to April

The subscription fee for a full year is £16

(The extra charge is to cover Paypal admin. costs)

 If you are joining part way through the year please contact the Membership Dept. for the relevant subscription fee.


Membership Department


Anne Dickinson

5 Cromer Road,

Bispham,

Blackpool,

Lancs,

FY2 0ED.


Tel: 01253 356068

E: j_a.dicki-5@talktalk.net

All member details are strictly confidential, and will not be conveyed in any manner whatsoever to a third party without the sole and express permission of the member.

Type of Application