Simply fill out the form below then print & send to the address at the bottom of the page along with your
cheque or money order
.
MEMBERSHIP TYPE:
UK-Member - £30.00
International Member - £35.00
UK-Member - £25.00
International Member - £30.00
JOINT MEMBERS NAME
FIRST NAME:
LAST NAME
ADDRESS:
TOWN/CITY:
COUNTY:
POSTCODE:
COUNTRY:
PHONE NUMBER:
e-mail:
INTRODUCED BY:
Vehicle Details
MAKE:
MODEL:
YEAR:
COLOUR:
ENGINE SIZE:
REG. NO.:
FEATURES:
These details will be kept on the clubs computer. If you object to your details being passed to your area rep please tick the box.
Do
not
pass my details to an area rep
N.B. details will
NOT
be released to a third party without first obtaining your permission.
Junior Member Details
JUNIOR 1
JUNIOR 2
FIRST NAME
D.O.B
AGE
5
6
7
8
9
10
11
12
13
14
15
16
LAST NAME
D.O.B
AGE
5
6
7
8
9
10
11
12
13
14
15
16
For more junior members please send details on a seperate sheet.
Please
DO NOT
send cash!
Roger Woolley
136 Grange Drive
Melton Mowbray
Leics
LE13 1HA
Please make cheques payable to AAC-UK