Renew Membership

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Personal Details:

Membership Type:*

Membership Number:

Full Name(s):*

Address:

Post Code:

Country:

Telephone Number:*

Email:*

Member's Age Profile (please tick appropriate box):

DATA PROTECTION
I/we consent to the use of my/our data by the Club as set out in its Data Protection Privacy Notice.

I/we consent to the use of my/our data:*

Yes No

DECLARATION
I/we confirm my/our contact and vehicle details are unchanged (or have changed as indicated below).

I/we agree to the above declaration:*

Current Mileometer Reading:

Members renewing their FULL membership are only required to complete the following Vehicle Details section if any information has changed.

Associate members are not required to complete this section.

Vehicle Details:

UK Reg Number:

Overseas Reg No:

Date of first registration:

Model:

Body Type:

Details:

Body Number:

Chassis Number:

Original Engine:

Original Engine Type:

Original Engine Number:

Original HP/cc:

Current Engine:

Current Engine Type:

Current Engine Number:

Current HP/cc:

Current Use:

Running Under restoration Laid up

Additional Information:

COMMENTS:

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