RENEWAL CREDIT CARD FORM

Colour:

Chassis No:

Special or interesting features

Full Name

Address

Town/City

Postcode/Zipcode

Country

Home Tel:

Mobile No:

P5 Coupe

P5 Saloon

P5B V8 Coupe

P5B V8 Saloon

Car Reg no:

Credit Card payment:

Please debit my Mastercard Visa Visa Debit Delta Switch No:

Credit Card No: Start Date: Expiry date:

Total paid £ Security No (the 3 digits on the reverse of the card)

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

Select your RENEWAL membership option

CREDIT CARD INSTRUCTIONS

We accept credit card payment BY PHONE, FAX OR POST.
Complete the form and press ‘Print’ button to print a file copy for reference.
BY PHONE: 01784 258166 between 6.30pm - 9.00pm
Please have your credit card and the above completed form details ready
BY FAX: 01784 258166 any time.

BY POST:
Membership Secretary,
Rover P5 Club,
13 Glen Avenue,
Ashford,
Middlesex TW15 2JE,
United Kingdom.

JOINING FROM OCTOBER? The club now operates on a fixed renewal date of April each year.
Members joining after October have THREE choices CLICK HERE FOR MORE INFORMATION

PLEASE NOTE: A £2 CHARGE IS ADDED FOR ADMIN COSTS CHARGED BY YOUR CREDIT CARD COMPANY.