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                                       APPLICATION FOR MEMBERSHIP
                                        TO  THE ALLARD OWNERS CLUB 

I wish to apply for membership of the Allard Owners Club.

Current Subscription Rates-  2010:

£30.00 U K Members     Overseas £30.00

 

Full Name

 

Address

 

 

 

 

 

 

 

(The following are optional)             

Telephone No

 

Email Address

 

 

Make and Type of car/cars, registration number & chassis number

 

  

 

 

 

I agree to abide by the rules and regulations of the Allard Owners Club.

I enclose a cheque made payable to "Allard Owners Club" for £30.00

For Payment by Bank Transfer/Internet Banking:   

    Bank:                Lloyds TSB

    Sort Code:        30-98-74

    Account No:     00672348

    BIC:                 LOYDGB21146   

    IBAN                GB35 LOYD 3098 7400 6723 48     

 

Signed:������������.   Date:��������.

  

Data Protection Act:

The Club holds membership details as part of its computer database.  No information about a member will be disclosed without permission. If you object, please notify the Club in writing when returning this form.

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