MIDLAND
ROLLS-ROYCE

 

MEMBERSHIP APPLICATION FORM.

Please fill in all the fields then use the submit button to send

Your Name

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Address 1

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Town/City

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Post code

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Country

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Home Phone No.

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Work Phone No.

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Mobile Phone No.

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Your E-Mail

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Details of your Car

Model

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Year

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Reg No.

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Chassis No.

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Body Type

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Builder

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Pleased to say problem solved and forms now reaching us.

CLUB FEES;

ENTRY FEE. £1.50 ANNUAL SUBSCRIPTION; £21.00.

REGALIA; LAPEL BADGES, KEY RINGS, CAR BADGES ETC.

FULL DETAILS SENT WHEN YOU HAVE JOINED,.

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