Lincs Off Road

Membership Form

2009/10

This form is to declare that the person listed below has formally applied to join Lincs Off Road Club, which entitles them to attend club events, receive news letters, use the website and vote on matters relating to the club.  Membership renewals are March.

 

 

     First Name ..............................................       Surname.........................................

 

 

      Address....................................................................................

 

                   ………………………………………………………

  

       

      Postcode...................................

 

 

      Telephone..........................................         Mobile.................................................

 

 

      Email.....................................................................

 

 

      Vehicle......................................    Reg No………..........................

 

 

      Sign ……………………..……………………….

 

 

      Check list:   [   ]     I have filled in the form details above.

 

                          [   ]     I have enclosed a signed Cheque for £………..

                                     Made out to ‘Lincs Off Road

 

 

For official use                                                         Please return payment and form to:

                       The Membership Secretary

Membership No                                         48 Rectory Road

                                                                  Ruskington

Form Received    /    /                         Sleaford

               Lincs

               NG34 9AD

Card Issue Date   /    /