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ACOC
Membership - Please complete, print out the form
and return with your full remittance to:
Tony Morpeth, AC Owners' Club, Thatch End, Godmanstone,
DT2 7AQ
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| Surname |
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| Forename(s) |
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| Address |
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| Postcode / Zip |
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| Telephone |
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| Email |
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'I, the undersigned, hereby apply
for membership of the AC Owners' Club Ltd and
undertake to be bound by the Memorandum and
Articles of Association of that Company. I understand
and agree that my name, address and car ownership
details may be processed and used for Club purposes
only as stated in the Data Protection Act Notice
displayed on this website.'
Signature ................................................................................
Date ................................. |
Car Details (ACs only, please!)
| Year |
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Model |
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Chassis No. |
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| Present
Engine Type |
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Engine No. |
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| Reg No. |
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Mileage |
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Overdrive - Yes/No |
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| Modifications |
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Date of Purchase |
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| Condition at
Time of Purchase |
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Price Paid
(this information remains strictly confidential)
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| Colour |
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Interior |
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Gearbox type |
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Subscriptions may be paid either by Sterling Cheque, Dollar Cheque, Visa or MasterCard - see below
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Entrance Fee |
@ £2.50 or $5 |
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Subscription UK |
@ £30 |
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Subscription Europe |
@ £35 |
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Subscription any other country (Sterling/Dollar cheque or Credit Card) |
@ £40 or $80 |
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Plus any regalia (see regalia
order form) |
£ |
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Cheques made payable to: AC Owners' Club Ltd. |
TOTAL £ |
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Card Number |
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Expiry Date |
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| Cardholder's Name |
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Cardholder's Signature..............................................................................
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