MID SHROPSHIRE
VINTAGE CLUB Ltd.

APPLICATION FOR MEMBERSHIP
 Please print this form if you wish to join the Mid Shropshire Vintage Club

FULL NAME (please print)

ADDRESS

POSTCODE
TELEPHONE NUMBER
  1. I wish to become a member of the Mid Shropshire Vintage Club Ltd.
  2. If elected I agree to abide by the rules of the Club
  3. I guarantee to accept liability not exceeding £1.00 in the event of the Company being wound up whilst I remain a Member
  4. The undersigned members of the Club have agreed to support my application.

(All applications should be signed by two existing members. Contact the Secretary if you do not know any)

MEMBER'S NAME

MEMBER'S NAME

MEMBER'S SIGNATURE

MEMBER'S SIGNATURE

MEMBERSHIP NO

MEMBERSHIP NO

5. I have/have not previously been a member of this Club (delete as appropriate)

Applicant's signature .........................................................................................                Date .............................

If you wish to join please print this form and send it, completed and with the sum of £8.00 (which includes membership of the Club and Public Liability insurance cover of £2,000,000 when taking part in Club or other similar events), to:
THE SECRETARY:
Lance Jackson, Mangerton, Lea Cross, Shrewsbury, Shropshire SY5 8HR
Tel: 01743 860091

ALL SUBSRIPTIONS ARE RENEWABLE AT THE MARCH MONTHLY MEETING

Company limited by guarantee, Registered in England No. 2497929