Member Details Form

 
       
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When you have completed the boxes below, just click the submit button to send.

Your details will be added to our Membership List as soon as possible

Your Membership Subscription ...    

  I confirm I have sent my annual subscription of £20:

 

 Date subscription payment made:

 
About Yourself ...    

 Your Name:

 
 Email Address:  
Telephone No:  
 Address:  
   
Town:  
County:  
Postcode:  
Can we include your name, location, type of car, telephone number and email in the private Membership List sent to members?   Yes    No  
Can we include just your name and area on the Members Page of the club website?   Yes    No  
Your name on the Members Page links to an individual page where you can show details and photos of your car - will you be emailing photos to our webmaster?   Yes   No    (Email photos to johnm@speedsters.com)
About your car ...    
Type (e.g. Speedster, Spyder, etc):  
 Make (e.g. Chesil, GP, M&W, etc):  
Obtained:  
Built by:  
Date build started:  
First Used:  
Insured by:  
'Working Car' or 'Fun Car':  
Approximate Annual Mileage:  
Registration Number:  
Other Identifying Number:  
Engine Number:  

 Engine Details:

 

 Chassis Details:

 

 Trim/Colour Details:

 

 Awards Gained:

 

 Is the car above your first replica?

 

If not, what others have you owned?

 
Helping the Club ...    

Would you be prepared to
assist in running the club?

 

 If so - what area of expertise
can you offer?

 

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