INVERCLYDE PHOENIX CAR CLUB

Founded 1969 - 40 years of Road Safety Promotion

APPLICATION FOR MEMBERSHIP

1.         FULL NAME…………………………………………………………………………

2.        ADDRESS……………………………………………………………………………

               …………………………………………TEL. No………………………

3.        E-MAIL......................................................................................................

4.        OCCUPATION……………………………………………………………………….

5.        DATE OF BIRTH …………………………………………………………………...  

6.        MAKE OF VEHICLE ……………………………………………………………….

7.        REGISTRATION No. ……………………………………………………………….

8.       IF ACCEPTED FOR MEMBERSHIP, I AGREE TO ACCEPT, AND ABIDE BY, 

       THE AIMS, CONSTITUTION AND RULES OF INVERCLYDE PHOENIX CAR CLUB.

SIGNATURE…………………………………….DATE………………………….

PROPOSER………………………………………MEMBERSHIP No. ……….

SECONDER………………………………………MEMBERSHIP No. ……….

      Annual Fees 2009 - 2010:- Ordinary Members £20 - Seniors £8 


Please send completed form to:-

For office use only

         The Secretary

         Inverclyde Phoenix Car Club

         The Workshop

         6a South Street

         Greenock

         PA16 8TX

         Date Received.....................

         Fee Paid £...........................

         Notified to attend..................

         Number Issued.....................

         Registered List.....................


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