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SOUTH EASTERN VINTAGE AND
CLASSIC VEHICLE CLUB LIMITED
MEMBERSHIP APPLICATION FORM
PLEASE COMPLETE ALL SECTIONS IN BLOCK
CAPITALS |
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SURNAME: |
FORENAMES: |
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ADDRESS:
POSTCODE: |
JOINT MEMBER’S
FULL NAME: (IF APPLICABLE)
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TELEPHONE NO: |
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MEMBERSHIP TYPE
REQUIRED: (PLEASE TICK)
SINGLE
O
JOINT
O |
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EMAIL ADDRESS:
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QUALIFYING VEHICLES MUST BE FIRST
REGISTERED BEFORE 1ST JANUARY 1974 |
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IF YOU HAVE CHANGED ANY OF YOUR
VEHICLES SINCE LAST RENEWAL PLEASE COMPLETE |
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VEHICLE DETAILS |
FIRST VEHICLE |
SECOND VEHICLE
(IF APPLICABLE) |
THIRD VEHICLE
(IF APPLICABLE) |
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MAKE & MODEL
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YEAR OF FIRST
REGISTRATION |
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REGISTRATION
NUMBER |
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USAGE
(TICK AS
APPROPRIATE) |
O
DAILY
ORALLY
SEASON ONLY
O
LAID UP
O
UNDER RESTORATION |
O
DAILY
O
RALLY SEASON ONLY
O
LAID UP
O
UNDER RESTORATION |
O
DAILY
O
RALLY SEASON ONLY
O
LAID UP
O
UNDER RESTORATION |
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ADDITIONAL
INFORMATION
E.G INTERESTING
HISTORY, PROTOTYPE, PREVIOUS OWNERS. |
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ARE YOU A MEMBER
OF ANY OTHER MOTOR CLUB? |
PLEASE TICK
: YES
O
NO O
(IF YES PLEASE
STATE) |
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I/WE HAVE READ AND AGREE TO ABIDE BY
THE RULES OF THE SOUTH EASTERN VINTAGE AND CLASSIC VEHICLE CLUB AND
AGREE THAT MY/OUR DETAILS MAY BE HELD IN A COMPUTERISED DATABASE FOR
THE SOLE PURPOSE OF RECEIVING SEV&CVC LIMITED INFORMATION AND
MAGAZINES. CLUB MEMBERSHIP IS BY ANNUAL SUBSCRIPTION RENEWABLE ON
THE 1ST OF MARCH.
SIGNED:
DATE: |
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REMITTANCE ENCLOSED |
QUANTITY |
ENTER AMOUNT |
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Membership fee
(£20.00) |
1 |
£20.00 |
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PLEASE MAKE
CHEQUE/P.O’S PAYABLE TO SEVCVC.
RETURN TO THE
MEMBERSHIP SECRETARY:
Paul
Chandler
Plovers
Mayland Close, Mayland, Essex CM3 6SS
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SEVCVC USE
ONLY
MEMBERSHIP
APPROVED
ÿ
MEMBERSHIP NO.
(S) 3/
DATE: |
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