Colour:

Chassis No:

Special or interesting features

Full Name

Address

Town/City

Postcode/Zipcode

Country

Home Tel:

Mobile No:

For purpose of exemption from registration under the ‘Data Protection Act’, I agree that the details given may be held on the Club computer specifically for magazine mailing purposes. Name and County of new members will be published in the magazine and all address details may be passed to your Regional representative unless you tick this box.

I agree to be bound by the rules of the Club Constitution, a copy of which is available upon request from the Club Secretary.

About the car

Date:

INSTRUCTIONS

Complete the form (this can be done on screen or print a blank form and complete in black ink) and press the ‘Print’ button to print a copy. You may wish to print a second copy for reference.


BY POST  Send the completed form along with your cheque/postal order made payable to ROVER P5 CLUB to:

Membership Secretary,  
Rover P5 Club,  
1 Ferngrove Close,
 Fetcham,
Leatherhead, KT22 9EQ
E: membership@roverp5club.org.uk     www.roverp5club.org.uk