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NENE VALLEY MINI CLUB

MEMBERSHIP APPLICATION FORM

• YOUR NAME:

• ADDRESS:

• PHONE NO:                                                                                  EMAIL ADDRESS:

• PREFERRED METHOD OF CONTACT - PHONE or EMAIL: 

• CAR REGISTRATION NUMBER:                                                             YEAR:                           

•  COLOUR:                                                                                                 ENGINE SIZE:    

•  BRIEF DESCRIPTION OF CAR:

• SIGNIFICANT OTHER FAMILY MEMBERS (if applicable):

I would like to apply for club membership at a cost of £15 (runs Jan to Jan. The membership cost is per postal address not per person).

Club logoed polo shirts are available at a subsidised price of £10. If you would like one please indicate what size you would like –

• SMALL                                MEDIUM                             LARGE                        EXTRA LARGE  

• CHEQUES SHOULD BE MADE PAYABLE TO NENE VALLEY MINI CLUB
• PLEASE RETURN THIS COMPLETED FORM WITH YOUR CHEQUE TO NVMC, 10 Meadway, Harrold, Beds MK43 7DP or BRING IT ALONG TO ONE OF OUR CLUB MEETINGS