USA/ CANADA New Member Application

USA/ CANADA New Member Application

Subscriptions are due on 1st January

Subscription Rate for US and Canadian Members is $45.
Payment can be paid:
1. By Stripe payments system using a credit debit card
2. By Bank transfer or by standing order
Allard Owners Club Account No 00672348 Sort Code 30 98 74

Please select your relevant regional representative from the drop down box lower down in the form to ensure it is submitted to the correct person.

Members in the United States /Canada can pay directly to:

Regional Co-ordinator USA & Canada – Andy Picariello P.O. Box 1378 Marston Mills, Massachusetts 02648 USA.
Tel 001 508 420 2914 Fax (001) 508 420 2666, or email: Andy Picariello

Address
Address
City
State
Zip/Postal
Credit Card

We agree to abide by the rules and regulations of The Allard Owners Club

Allard Owners Club

If you do not want your details to appear in the Year Book please tick the box

Membership details are held by the club as part of their database. No information about a member will be disclosed without permission